Individual
ANAND KUMAR RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE STE 300, MUNCIE, IN 47303-3432
(765) 289-5408
(765) 289-5346
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085949A
IN
207RG0100X
Gastroenterology Physician
Primary
01085949A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300053845
—
IN
01
—
M122404047
MEDICARE PTAN
IN
01
—
P02682448
RAILROAD PTAN
IN
Enumeration date
05/06/2014
Last updated
02/22/2024
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