Individual
RAVI K THIMMISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7740
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6626
NE
207RN0300X
Nephrology Physician
2016038126
MO
207RN0300X
Nephrology Physician
Primary
MD2021-0293
NM
Other
Enumeration date
09/25/2011
Last updated
06/10/2021
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