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Individual

MR. RAVI KUMAR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 222-4614
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(888) 447-7220
(336) 884-1643

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146668
HEALTHLINK ID
Enumeration date
06/21/2005
Last updated
07/09/2007
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