Ravi, Revathi

Ravi, Revathi is an sole proprietor health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Ravi, Revathi can be contacted via phone (972) 679-2214.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (972) 679-2214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 266645 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 123112 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 266645 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 266645 Massachusetts

Profile Details

NPI number 1891054128
LBN Legal business name Ravi, Revathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2012
Last updated May 2nd, 2019 - about 6 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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