Individual
RAVY K. VAJRAVELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104-5127
(215) 349-8222
(215) 662-6530
Mailing address
3400 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104-5127
(215) 349-8222
(215) 662-6530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD457602
PA
207RG0100X
Gastroenterology Physician
Primary
MD457602
PA
Other
Enumeration date
05/21/2012
Last updated
09/26/2019
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