Organization
RAVI GORAV MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI GORAV M.D. (PRESIDENT)
(575) 522-7982
Entity
Organization
Contact information
Practice address
2540 S TELSHOR BLVD, LAS CRUCES, NM 88011-4907
(575) 522-7982
(575) 522-7987
Mailing address
2540 S TELSHOR BLVD, LAS CRUCES, NM 88011-4907
(575) 522-7982
(575) 522-7987
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
2002-0274
NM
Other
Enumeration date
05/15/2007
Last updated
11/18/2009
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