Pachigolla, Ravi V
Pachigolla, Ravi V is an individual health care provider with primary practice located at 2016 Fort Worth Hwy , Weatherford TX 76086-4706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Pachigolla, Ravi V can be contacted via phone (817) 596-8637.Contact Information
Primary practice address
2016 Fort Worth Hwy
Weatherford TX 76086-4706
Phone: (817) 596-8637
Fax: (855) 217-1123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | K4763 | Texas |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | K4763 | Texas |
Profile Details
| NPI number | 1396731402 |
|---|---|
| LBN Legal business name | Pachigolla, Ravi V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Apr 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396731402 | NPPES |
| Texas | Other | 00Z738 | MEDICARE GROUP PIN |
| Texas | Other | 198437901 | MEDICARE GROUP PIN |
| Texas | MEDICAID | 198438701 | MEDICARE GROUP PIN |
| Texas | Other | K4763 | MEDICARE GROUP PIN |
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