Individual
DR. SUPRIYA RAVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
546 SAINT GEORGES AVE, RAHWAY, NJ 07065-2542
(732) 381-3642
(732) 396-4463
Mailing address
51 PUCHALA DR, PARLIN, NJ 08859-2198
(732) 690-3298
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA09174800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/21/2011
Last updated
06/16/2021
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