Individual
PRABHAKARA BABU RAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 SANDERS ST, ATHENS, AL 35611-2418
(256) 232-2275
(256) 232-4401
Mailing address
102 SANDERS ST, ATHENS, AL 35611-2418
(256) 232-2275
(256) 232-4401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8230
AL
Other
Enumeration date
03/28/2006
Last updated
01/06/2012
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