Organization
RAVI MEDI
Active
Organization
RAVI MEDI
Active
Other names
RAVI MEDI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADU MEDI (OFFICE MANAGER)
(432) 333-1333
Entity
Organization
Contact information
Practice address
2626 JOHN BEN SHEPPERD PKWY, C-129, ODESSA, TX 79761-1958
(432) 333-1333
(432) 333-1335
Mailing address
2626 JOHN BEN SHEPPERD PKWY, C-129, ODESSA, TX 79761-1958
(432) 333-1333
(432) 333-1335
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578296-01
—
TX
Enumeration date
01/05/2007
Last updated
06/17/2008
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