Individual
RAVIKANTH NATHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1200 SIXTH AVE N, CENTRA CARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 SIXTH AVE N, CENTRA CARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51621
MN
208M00000X
Hospitalist Physician
Primary
51621
MN
Other
Enumeration date
07/13/2007
Last updated
10/30/2015
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