Organization
WEST OHIO X-RAY
Active
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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