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Individual

DR. SRAVANTHI RAVULAPATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258157
NY
207RX0202X
Medical Oncology Physician
Primary
DR.0058773
CO
208M00000X
Hospitalist Physician
258157
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028187
KAISER COMMERCIAL NUMBER
CO
05
03262782
NY
01
P00927263
RAILROAD MEDICARE PTAN
NY
Enumeration date
08/29/2007
Last updated
06/15/2021
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