Individual
DR. RAVI MIDIDODDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
16010 PARK VALLEY DR STE 100, ROUND ROCK, TX 78681-3575
(512) 320-1500
(512) 459-1399
Mailing address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
(512) 459-1399
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M4881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182797409
—
TX
Enumeration date
06/01/2006
Last updated
07/21/2023
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