Organization
R B RAVI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVEENDRA BABU RAVI (PRESIDENT)
(440) 997-0092
Entity
Organization
Contact information
Practice address
2421 LAKE AVE, ASHTABULA, OH 44004-4953
(440) 997-0092
(440) 997-0093
Mailing address
2421 LAKE AVE, ASHTABULA, OH 44004-4953
(440) 997-0092
(440) 997-0093
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35041646R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431143
—
OH
01
—
DG1459
RR MEDICARE
—
Enumeration date
08/23/2005
Last updated
08/15/2012
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