Individual
DR. RAVIPRASAD G SUBRAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 N SEMORAN BLVD, STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246
Mailing address
483 N SEMORAN BLVD, STE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME91280
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME91280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106338
HUMANA PROV ID #
FL
01
—
1131656
CIGNA PROV ID #
FL
01
—
17708
FHHS PROV ID #
FL
01
—
1949605
UNITED H'CARE PROV ID #
FL
05
—
271152400
—
FL
01
—
50058
BCBS OF FL PROV ID #
FL
01
—
57215
AMERIGROUP MCD PROV ID #
FL
01
—
P00216444
RAILROAD MEDICARE
FL
Enumeration date
06/01/2005
Last updated
07/19/2021
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