Ravi, Jyotsna

Ravi, Jyotsna is an individual health care provider with primary practice located at 2601 E Roosevelt St , Phoenix AZ 85008-4973. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Ravi, Jyotsna can be contacted via phone (602) 344-5027.

Contact Information

Primary practice address
2601 E Roosevelt St Phoenix AZ 85008-4973
Fax: (602) 344-1488
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32757 Arizona
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 32757 Arizona

Profile Details

NPI number 1447291034
LBN Legal business name Ravi, Jyotsna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 10th, 2015 - about 11 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 1447291034 NPPES
Arizona MEDICAID 087569

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