Individual
RAVI V DHANISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3133
(215) 707-3945
Mailing address
2450 W HUNTING PARK AVE, 3/208N, PHILADELPHIA, PA 19129-1302
(215) 707-3133
(215) 707-3945
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
MD446408
PA
2086S0129X
Vascular Surgery Physician
Primary
ME152784
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/23/2008
Last updated
11/03/2021
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