Individual
MR. RAVI K SOMAYAZULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
9230 KATY FWY, SUITE 520, HOUSTON, TX 77055-7469
(281) 242-1061
(832) 939-8420
Mailing address
9230 KATY FWY, SUITE 520, HOUSTON, TX 77055-7469
(281) 242-1061
(832) 939-8420
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
P1023
TX
208600000X
Surgery Physician
218605
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023XJ
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/30/2008
Last updated
02/21/2017
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