Individual
DR. LINGAMURTHY RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 S FAIRMONT AVE, SUITE 8, LODI, CA 95240-5113
(209) 339-7625
(209) 339-7419
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C54849
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C54849
CA
207RP1001X
Pulmonary Disease Physician
01066183A
IN
207RP1001X
Pulmonary Disease Physician
37483
TN
207RP1001X
Pulmonary Disease Physician
41191
KY
207RP1001X
Pulmonary Disease Physician
C54849
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
C54849
CA
208M00000X
Hospitalist Physician
Primary
C54849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000518675
ANTHEM (CHS INC - PPCC)
KY
01
—
000000696138
ANTHEM PROVIDER NUMBER / TIN 35-2030653
IN
05
—
200878960
—
IN
01
—
357400
ANTHEM BCBS
KY
05
—
6407843900
—
KY
Enumeration date
03/16/2006
Last updated
05/25/2022
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