Individual
DR. RAVI VENUGOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
23 BRETTON RD, GARDEN CITY PARK, NY 11040-3411
(516) 747-6749
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
247083-1
NY
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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