Individual
DR. RAVINDRA V MAILAPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
207 LONGWOOD DR SW, HUNTSVILLE, AL 35801-5243
(256) 265-1890
(256) 265-1891
Mailing address
207 LONGWOOD DR SW, HUNTSVILLE, AL 35801-5243
(256) 265-1890
(256) 265-1891
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051523902
—
AL
01
—
51523902
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/04/2006
Last updated
05/11/2011
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