Individual
RAVI KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 W. LA VETA AVE., ORANGE, CA 92868-4203
(714) 509-3096
(714) 509-7800
Mailing address
1201 W. LA VETA AVE., ORANGE, CA 92868-4203
(714) 509-3096
(714) 509-7800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C53892
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C53892
CA
Other
Enumeration date
12/16/2005
Last updated
01/11/2013
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