Organization
ASKLEPIOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAITANYA KUMAR RAVI M.D. (OWNER)
(410) 521-4211
Entity
Organization
Contact information
Practice address
5400 OLD COURT RD, SUITE 204, RANDALLSTOWN, MD 21133-5100
(410) 521-4211
(410) 521-0627
Mailing address
5400 OLD COURT RD, SUITE 204, RANDALLSTOWN, MD 21133-5100
(410) 521-4211
(410) 521-0627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D37333
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594321300
—
MD
Enumeration date
11/09/2015
Last updated
02/15/2016
Update your record
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