Elluru, Ravindhra G

Elluru, Ravindhra G is an individual health care provider with primary practice located at 8402 Harcourt Rd Ste 400 , Indianapolis IN 46260-2053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Elluru, Ravindhra G can be contacted via phone (317) 338-6815.

Contact Information

Primary practice address
8402 Harcourt Rd Ste 400 Indianapolis IN 46260-2053
Phone: (317) 338-6815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 35.079575 Ohio
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 102056-875 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 01094488A Indiana

Profile Details

NPI number 1356361968
LBN Legal business name Elluru, Ravindhra G
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356361968 NPPES
Ohio MEDICAID 2377888

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