Individual
RAVI B. PAVURALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0764
(409) 772-1501
(409) 772-4789
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0764
(409) 772-1501
(409) 772-4789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036125977
IL
207R00000X
Internal Medicine Physician
35128184
OH
207RG0100X
Gastroenterology Physician
Primary
BP10067738
TX
208M00000X
Hospitalist Physician
036125977
IL
208M00000X
Hospitalist Physician
35128184
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171908
—
OH
05
—
036125977
—
IL
Enumeration date
09/03/2009
Last updated
07/13/2019
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