Individual
DR. RAVI NALLAMOTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
913 WASHINGTON ST, CALISTOGA, CA 94515-1433
(707) 942-6233
Mailing address
6 WOODLAND RD, SUITE 303, SAINT HELENA, CA 94574-9501
(707) 963-0267
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C137072
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M-16901
ID
207RP1001X
Pulmonary Disease Physician
Primary
2015-01967
NC
207RP1001X
Pulmonary Disease Physician
C137072
CA
207RP1001X
Pulmonary Disease Physician
M-16901
ID
Other
Enumeration date
02/09/2010
Last updated
07/28/2025
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