Individual
DYANESH BAPU G RAVINDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
310 HARTNELL AVE, REDDING, CA 96002-1800
(530) 245-2900
(530) 221-1583
Mailing address
310 HARTNELL AVE, REDDING, CA 96002-1800
(530) 245-2900
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K4204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152185801
—
TX
01
—
8G0570
BC/BS
TX
Enumeration date
08/01/2006
Last updated
03/11/2017
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