Individual
KALPANA RAVIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44215 15TH ST WEST, SUITE 114, LANCASTER, CA 93534
(661) 945-4563
(661) 945-2344
Mailing address
44215 15TH ST WEST, SUITE 114, LANCASTER, CA 93534
(661) 945-4563
(661) 945-2344
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A35711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357110
—
CA
01
—
250001569
RAILROAD MEDICARE
CA
01
—
A35711
LICENSE
CA
Enumeration date
08/09/2006
Last updated
09/16/2016
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