Individual
DR. RAVI KIRAN BOBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, ELLIS FISCHEL CANCER CENTER, COLUMBIA, MO 65212-0001
(573) 882-8445
(573) 884-5318
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101235510
VA
207RH0003X
Hematology & Oncology Physician
Primary
2009001422
MO
Other
Enumeration date
05/24/2006
Last updated
04/16/2013
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