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Individual

RAVI S. RAMANATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
291 N PECOS RD, HENDERSON, NV 89074-1918
(702) 616-9471
(702) 616-9681
Mailing address
291 N PECOS RD, HENDERSON, NV 89074-1918
(702) 616-9471
(702) 616-9681

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9434
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2018677
NV
01
CC0498
BC/BS
Enumeration date
07/14/2005
Last updated
04/02/2013
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