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Individual

RAVI HALASWAMY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2666 CALDER ST, BEAUMONT, TX 77702-1917
(409) 813-1177
(409) 813-1199
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(409) 813-1177
(409) 813-1199

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2592
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00K30Y
BLUE CROSS BLUE SHIELD
TX
05
128442401
TX
01
4458636
AETNA
TX
Enumeration date
09/06/2006
Last updated
11/20/2020
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