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Individual

RAVI K CHUNDRU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
845 FM 1960 WEST, SUITE 101, HOUSTON, TX 77090
(281) 893-1760
Mailing address
102 QUITMAN ST UNIT 405, HOUSTON, TX 77009-7662
(832) 969-0960

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K5272
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143780801
TX
01
180042286
RR MEDICARE
01
8B2080
BCBS
TX
Enumeration date
11/15/2005
Last updated
02/02/2023
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