Individual
DR. SHANTAN BHARGAV REDD RAVULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 23832-2827
(804) 256-8282
(804) 256-8288
Mailing address
7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 23832-2827
(804) 256-8282
(804) 256-8288
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
0101273073
VA
207QS1201X
Sleep Medicine (Family Medicine) Physician
206173
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2348019
—
LA
Enumeration date
05/16/2009
Last updated
02/11/2026
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