Individual
GIRINDRA RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 15TH ST AUGUSTA, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
071398
GA
207R00000X
Internal Medicine Physician
E5741
AR
207RH0003X
Hematology & Oncology Physician
Primary
71398
GA
Other
Enumeration date
04/12/2007
Last updated
08/27/2020
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