Individual
DR. NANJAPPA RAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 OLD HOOK RD., SUITE 203, WESTWOOD, NJ 07675-3123
(201) 666-7200
(201) 666-5612
Mailing address
PO BOX 1097, PARAMUS, NJ 07653-1097
(201) 967-8425
(201) 967-8443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03805000
NJ
207R00000X
Internal Medicine Physician
MA03805000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324205
—
NJ
Enumeration date
07/27/2006
Last updated
12/19/2022
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