Individual
DR. JAY SUMAN RAVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 TINNIN RD NW, LOS RANCHOS, NM 87107
(919) 618-3621
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
MD2018-0755
NM
Other
Enumeration date
12/19/2008
Last updated
11/21/2024
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