Individual
BHAVANA RAVIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 BIRD AVE, SAN JOSE, CA 95125-1700
(408) 295-7768
Mailing address
999 MILLS CORNER LN, SAN JOSE, CA 95122-3248
(510) 766-3855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83631
—
CA
Enumeration date
03/11/2021
Last updated
03/12/2021
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