Individual
DR. RAVI MEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2626 JOHN BEN SHEPPERD PKWY STE C129, ODESSA, TX 79761-1953
(432) 333-1333
(432) 333-1335
Mailing address
2626 JOHN BEN SHEPPERD PKWY STE C129, ODESSA, TX 79761-1953
(432) 333-1333
(432) 333-1335
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K0130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036338402
—
TX
Enumeration date
12/27/2005
Last updated
08/03/2021
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