Individual
DR. RAVINDER MAMEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6445
(252) 537-8400
(252) 537-9585
Mailing address
321 HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6445
(252) 537-8400
(252) 537-9585
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
98-01704
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136MK
—
NC
Enumeration date
05/16/2006
Last updated
07/09/2007
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