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Individual

NIROOP R RAVULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4150 V ST, SUITE 1200, SACRAMENTO, CA 95817-1460
(916) 734-5048
Mailing address
4150 V ST, SUITE 1200, SACRAMENTO, CA 95817-1460
(916) 734-5048

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
F5485
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4859190
MI
Enumeration date
07/15/2006
Last updated
03/15/2012
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