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Organization

WEST OHIO X-RAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEETARAM RAVIPATI M.D. (PRESIDENT)
(419) 238-2390
Entity
Organization

Contact information

Practice address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 394-3335
Mailing address
PO BOX 5156, LIMA, OH 45802-5156
(419) 224-5707
(419) 229-0040

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000026829
ANTHEM BCBS
OH
01
027970300
FEDERAL BLACK LUNG PROG
05
0610217
OH
01
127859300
DEPT OF LABOR - (FECA)
01
CA0584
RAILROAD MEDICARE
OH
Enumeration date
03/16/2006
Last updated
07/08/2011
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