Individual
CHANDANA RAVIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7777 FOREST LANE, DALLAS, TX 75230-1501
(972) 566-4730
Mailing address
3001 E GEORGE BUSH HWY. SUITE 225, RICHARDSON, TX 75082
(214) 343-6663
(214) 343-2814
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
S6717
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2017
Last updated
06/26/2023
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