Individual
GOWTAM RAVIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014-2465
(540) 982-8204
(540) 224-1059
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5372
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101258004
VA
207RC0000X
Cardiovascular Disease Physician
236440
NY
207RC0000X
Cardiovascular Disease Physician
69644
WI
207RC0000X
Cardiovascular Disease Physician
P4372
TX
Other
Enumeration date
11/20/2008
Last updated
03/13/2026
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