Ravi, Manoj

Ravi, Manoj is an individual health care provider with primary practice located at Jbsa-Randolph Clinic 559 Medical Squadron 221 3Rd St W, Randolph Afb TX 78150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ravi, Manoj can be contacted via phone (210) 652-4264.

Contact Information

Primary practice address
Jbsa-Randolph Clinic 559 Medical Squadron 221 3Rd St W Randolph Afb TX 78150
Phone: (210) 652-4264
Fax: (210) 652-4264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q0814 Texas
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X Q0814 Texas

Profile Details

NPI number 1871560896
LBN Legal business name Ravi, Manoj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Feb 26th, 2026 - about 8 months 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 1871560896 NPPES
Texas Other Q0814 TEXAS MEDICAL BOARD
Texas Other 010158360 TEXAS MEDICAL BOARD
Texas Other E-8688 TEXAS MEDICAL BOARD
Texas Other MD061431Y TEXAS MEDICAL BOARD

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