Individual
VALIYA V RAVI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC, ST CLAIR SHORES, MI 48081-3015
(586) 447-0700
(586) 498-0707
Mailing address
28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC, ST CLAIR SHORES, MI 48081-3015
(586) 447-0700
(586) 498-0707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301037968
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0570850001
AGNA
—
01
—
5962202
AETNA
—
01
—
C5609
MCARE
—
01
—
P84580
BCN
—
Enumeration date
10/27/2005
Last updated
07/08/2007
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