Individual
RAVI K MOOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 305, RICHARDSON, TX 75082-4266
(972) 235-3248
(972) 235-3984
Mailing address
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 305, RICHARDSON, TX 75082-4266
(972) 235-3248
(972) 235-3984
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L7054
TX
Other
Enumeration date
09/14/2006
Last updated
09/20/2009
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