Madala, Ravichand
Madala, Ravichand is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 200 , Grand Rapids MI 49546-8292. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Madala, Ravichand can be contacted via phone (616) 391-3759.Contact Information
Primary practice address
4100 Lake Dr Se Ste 200
Grand Rapids MI 49546-8292
Phone: (616) 391-3759
Fax: (616) 391-3052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.089399 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35089399 | Ohio |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 4301102594 | Michigan |
Profile Details
| NPI number | 1083730907 |
|---|---|
| LBN Legal business name | Madala, Ravichand |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Feb 25th, 2021 - about 4 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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