Individual
DR. CHAMPA K. RATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7701
(419) 696-7866
Mailing address
PO BOX 16-7670, OREGON, OH 43616
(419) 698-3789
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-04-0271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330985
—
OH
Enumeration date
06/24/2005
Last updated
09/20/2009
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