Individual
SHALINI RAVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
919 MAIN ST STE 201, DYER, IN 46311-3717
(219) 922-3002
(219) 922-3003
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01084878A
IN
207RR0500X
Rheumatology Physician
036131441
IL
Other
Enumeration date
04/24/2009
Last updated
04/20/2023
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