Individual
RAVI KUMAR PASUPULETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5860 JIMMY CARTER BLVD, STE 125, NORCROSS, GA 30071-4658
(678) 935-0150
(678) 926-9668
Mailing address
3740 KENTWOOD CT, SUWANEE, GA 30024-4488
(469) 442-8584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71848
GA
Other
Enumeration date
08/15/2014
Last updated
01/24/2017
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