Individual
LALITHA RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
(602) 933-1918
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29733
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
29733
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623787
—
AZ
Enumeration date
03/31/2006
Last updated
06/19/2019
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