Individual
JYOTSNA RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32757
AZ
207RG0100X
Gastroenterology Physician
Primary
32757
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087569
—
AZ
Enumeration date
06/08/2006
Last updated
02/10/2015
Update your record
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