Individual
WILLIAM RAVEKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-5910
Mailing address
PO BOX 64316, BALTIMORE, MD 21264-4316
(410) 933-1241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D56801
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152902100
—
MD
Enumeration date
06/14/2006
Last updated
06/17/2010
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