Ravula, Radhika E.
Ravula, Radhika E. is an individual health care provider with primary practice located at 4708 Alliance Blvd Ste 850 , Plano TX 75093-5343. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Ravula, Radhika E. can be contacted via phone (469) 814-5960.Contact Information
Primary practice address
4708 Alliance Blvd Ste 850
Plano TX 75093-5343
Phone: (469) 814-5960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | K8450 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | K8450 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | K8450 | Texas |
Profile Details
| NPI number | 1750368445 |
|---|---|
| LBN Legal business name | Ravula, Radhika E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | May 24th, 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 | 1750368445 | NPPES |
| Texas | MEDICAID | 101180103 | |
| Texas | MEDICAID | 101180104 | |
| Texas | MEDICAID | 101180105 | |
| Texas | Other | 8G2125 | |
| Texas | Other | 720000337 |
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