Individual
DR. SANJEEV DHARI RAVIPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2103 SILVA LN, MOBERLY, MO 65270
(660) 616-0022
Mailing address
PO BOX 7959, COLUMBIA, MO 65205-7959
(660) 616-0022
(660) 530-4565
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2002015751
MO
207RI0011X
Interventional Cardiology Physician
Primary
2002015751
MO
207RI0011X
Interventional Cardiology Physician
MD-24930
HI
Other
Enumeration date
08/23/2005
Last updated
05/01/2025
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