Individual
RAVI KUMAR KALIDINDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 NW MEDICAL LOOP, ROSEBURG, OR 97471-1645
(541) 673-0968
(541) 673-0080
Mailing address
PO BOX 2346, ROSEBURG, OR 97470-0462
(541) 673-0968
(541) 673-0080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD126136
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD126136
OREGON MEDICAL BOARD
OR
Enumeration date
10/02/2009
Last updated
10/06/2011
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