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Individual

RAVI SAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1770 BATHGATE RD STE 401, BETHLEHEM, PA 18017-7334
(484) 884-9260
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
35087018
OH
207YX0901X
Otology & Neurotology Physician
Primary
MD480123
PA

Other

Enumeration date
06/15/2006
Last updated
04/05/2023
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