Individual
RAVI GURUJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVE SE FL 4, CHARLESTON, WV 25304-1227
(304) 388-8200
Mailing address
3200 MACCORKLE AVE SE FL 4, CHARLESTON, WV 25304-1227
(304) 388-8200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01061340A
IN
207RC0000X
Cardiovascular Disease Physician
036-109978
IL
207RC0000X
Cardiovascular Disease Physician
35.120296
OH
207RI0011X
Interventional Cardiology Physician
35.120296
OH
207RI0011X
Interventional Cardiology Physician
Primary
35238
WV
207RI0011X
Interventional Cardiology Physician
C0932
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542034
BCBS
IN
05
—
0075371
—
OH
05
—
01061340A
—
IN
05
—
201055350
—
IN
05
—
36109978
—
IL
Enumeration date
08/31/2006
Last updated
09/26/2025
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