Individual
DR. RAVI MANDYAM VENKATESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, UCI MEDICAL CENTER, BLDG 56, SUITE 300, ORANGE, CA 92868-3201
(714) 456-6579
Mailing address
101 THE CITY DR S, UCI MEDICAL CENTER, BLDG 56, SUITE 300, ORANGE, CA 92868-3201
(714) 456-6579
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
A115223
CA
Other
Enumeration date
05/14/2010
Last updated
02/11/2022
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