Individual
KAUSHIK RAVIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-3957
Mailing address
5994 SW BALD EAGLE DR, PALM CITY, FL 34990-8854
(561) 459-0666
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2021018679
MO
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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