Individual
DR. RAVI SHANKAR CHITTAJALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4521 MEDICAL CENTER DR, SUITE 500, MCKINNEY, TX 75069-1651
(972) 562-8383
(972) 548-8388
Mailing address
7610 N STEMMONS FWY STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L2844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154584001
—
TX
01
—
8G9580
BCBSTX
TX
Enumeration date
03/17/2006
Last updated
09/25/2020
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