Individual
AMITHA RAVULAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
(919) 784-7395
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
(919) 784-7395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-01593
NC
207R00000X
Internal Medicine Physician
MT185944
PA
208M00000X
Hospitalist Physician
2012-01593
NC
Other
Enumeration date
09/19/2007
Last updated
03/30/2021
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