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Organization

MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC

Active
Parent organization
MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC
Authorized official
SRINIVAS RAVI (MD)
(740) 387-7793
Entity
Organization

Contact information

Practice address
30D EXECUTIVE DRIVE, MARION, OH 43302-6310
(740) 387-7793
(740) 387-7795
Mailing address
P.O. BOX 887, MARION, OH 43301-0887
(740) 223-3496
(740) 383-6463

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
207L00000X
Anesthesiology Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RH0003X
Hematology & Oncology Physician
207X00000X
Orthopaedic Surgery Physician
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
208800000X
Urology Physician
213E00000X
Podiatrist
225100000X
Physical Therapist
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2104127
OH
05
2104136
OH
05
2105224
OH
05
2105242
OH
05
2105251
OH
05
2105279
OH
05
2105288
OH
05
2105322
OH
05
2105331
OH
05
2105359
OH
05
2105386
OH
05
2105411
OH
05
2105475
OH
05
2105519
OH
Enumeration date
06/02/2006
Last updated
06/28/2021
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