Individual
RAVI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3822 S WASHINGTON AVE, TITUSVILLE, FL 32780-5845
(321) 636-6914
(321) 636-6916
Mailing address
3822 S WASHINGTON AVE, TITUSVILLE, FL 32780-5845
(321) 636-6914
(321) 636-6916
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME96842
FL
207RI0011X
Interventional Cardiology Physician
036-089867
IL
Other
Enumeration date
05/05/2006
Last updated
07/10/2014
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