Individual
RAVINDRA GUDAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
5950 UNIVERSITY AVE, STE 131, WEST DES MOINES, IA 50266-8216
(515) 875-9550
(515) 875-9551
Mailing address
6800 LAKE DRIVE, STE 250, WEST DES MOINES, IA 50266-2504
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23846
NE
207RP1001X
Pulmonary Disease Physician
Primary
38916
IA
Other
Enumeration date
10/18/2006
Last updated
07/11/2011
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