Individual
DR. BALAGURU GOPAL RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 S PONDS DR, WEBSTER, TX 77598-1409
(713) 442-4300
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S1688
TX
207RS0010X
Sports Medicine (Internal Medicine) Physician
S1688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404216002
—
TX
05
—
404216003
—
TX
Enumeration date
04/01/2015
Last updated
04/28/2022
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