Ravula, Shantan Bhargav Redd

Ravula, Shantan Bhargav Redd is an individual health care provider with primary practice located at 7300 Ashlake Pkwy Ste 200 , Chesterfield VA 23832-2827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Ravula, Shantan Bhargav Redd can be contacted via phone (804) 256-8282.

Contact Information

Primary practice address
7300 Ashlake Pkwy Ste 200 Chesterfield VA 23832-2827
Phone: (804) 256-8282
Fax: (804) 256-8288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X 206173 Louisiana
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X 0101273073 Virginia

Profile Details

NPI number 1245465541
LBN Legal business name Ravula, Shantan Bhargav Redd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2009
Last updated Oct 19th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245465541 NPPES
Louisiana MEDICAID 2348019

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