Individual
REVATI J GHATNEKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1180 N INDIAN CANYON DR STE E205, PALM SPRINGS, CA 92262-4876
(760) 325-1202
(760) 864-7105
Mailing address
25 SHERWOOD RD, RANCHO MIRAGE, CA 92270-1648
(760) 625-5876
(760) 699-5521
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01052299
IN
207RC0000X
Cardiovascular Disease Physician
Primary
C43133
CA
207UN0901X
Nuclear Cardiology Physician
01052299
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060062081
RAILROAD
—
Enumeration date
01/23/2006
Last updated
04/09/2019
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