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Individual

SHIVARAJPUR K RAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2802 GARTH RD, SUITE 207, BAYTOWN, TX 77521-3900
(281) 428-7330
(281) 428-7251
Mailing address
2802 GARTH RD, SUITE 207, BAYTOWN, TX 77521-3900
(281) 428-7330
(281) 428-7251

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
J3882
TX
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
J3882
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
J3882
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115563202
TX
Enumeration date
04/13/2006
Last updated
01/11/2008
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