Individual
MRS. LATHA RAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 SOUTH THIRD STREET, SUITE 102, BELLEVILLE, IL 62220
(618) 235-2511
(618) 235-2548
Mailing address
180 SOUTH THIRD STREET, SUITE 102, BELLEVILLE, IL 62220
(618) 235-2511
(618) 235-2548
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-072768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008200539
BCBS OF IL
IL
01
—
250002252
RAILROAD MEDICARE PIN
IL
01
—
33725
GROUP HEALTH PLAN
—
Enumeration date
07/29/2006
Last updated
05/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us