Individual
NANDAKUMAR RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9870 BRIMHALL RD UNIT 100, BAKERSFIELD, CA 93312-2798
(661) 588-8725
(661) 588-8749
Mailing address
PO BOX 22470, BAKERSFIELD, CA 93390-2470
(661) 588-8725
(661) 588-8749
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A64007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A640070
—
CA
Enumeration date
01/31/2006
Last updated
08/04/2014
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