Individual
DR. KATHY RAVANBAKHSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2700 E 29TH ST STE 100, BRYAN, TX 77802-2507
(979) 774-3041
(979) 774-3053
Mailing address
2700 E 29TH ST STE 100, BRYAN, TX 77802-2507
(979) 774-3041
(979) 774-3053
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036-110986
IL
208800000X
Urology Physician
Primary
M8941
TX
Other
Enumeration date
05/20/2006
Last updated
12/03/2012
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