Individual
RAVI CHANDRA PULIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 MEDFORD AVE, SUITE A, PATCHOGUE, NY 11772-1222
(631) 569-5410
(631) 569-5413
Mailing address
33 MEDFORD AVE, SUITE A, PATCHOGUE, NY 11772-1222
(631) 569-5410
(631) 569-5413
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
224728
NY
Other
Enumeration date
07/30/2008
Last updated
11/04/2016
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