Individual
ANANTH KUMAR RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
284688
NY
2085R0202X
Diagnostic Radiology Physician
68124
MN
2085R0202X
Diagnostic Radiology Physician
Primary
74082
WI
2085R0202X
Diagnostic Radiology Physician
MD458034
PA
Other
Enumeration date
08/20/2009
Last updated
03/31/2022
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