Individual
DR. RAVI KONDAVEETI
Active
Individual
DR. RAVI KONDAVEETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45781
WI
207RG0100X
Gastroenterology Physician
036102902
IL
207RG0100X
Gastroenterology Physician
Primary
MD442416
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD442416
LICENSE
PA
Enumeration date
08/23/2006
Last updated
07/12/2011
Update your record
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