Madasu, Ravi K

Madasu, Ravi K is an individual health care provider with primary practice located at 1265 Union Ave , Memphis TN 38104-3415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Madasu, Ravi K can be contacted via phone (901) 681-9895.

Contact Information

Primary practice address
1265 Union Ave Memphis TN 38104-3415
Phone: (901) 681-9895
Fax: (901) 377-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36543 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36543 Tennessee

Profile Details

NPI number 1538160536
LBN Legal business name Madasu, Ravi K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Feb 19th, 2008 - about 18 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 1538160536 NPPES
Tennessee MEDICAID 3876048

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