Individual
DR. RAVI HALAPPA KONCHIGERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9985 SIERRA AVE, DEPT. OF CARDIOLOGY, FONTANA, CA 92335-6720
(909) 427-4000
Mailing address
8601 E WHITEWATER DR APT 205, ANAHEIM, CA 92808-1262
(714) 282-8908
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A74716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A747160
—
CA
Enumeration date
06/12/2006
Last updated
11/29/2021
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