Subhaschandra R Ravi Md Pllc

LBN: Subhaschandra R Ravi Md Pllc
Subhaschandra R Ravi Md Pllc is an health care organization with primary practice located at 30 W Main St , Hartford MI 49057-1005. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Subhaschandra R Ravi Md Pllc can be contacted via phone (269) 621-2166, or through Ravi, Prabha Reddy via phone (269) 621-2166.

Contact Information

Primary practice address
30 W Main St Hartford MI 49057-1005
Fax: (269) 621-2566
Website:
Authorized official contact:
Name: Ravi, Prabha Reddy

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301037460 Michigan

Profile Details

NPI number 1285948463
LBN Legal business name Subhaschandra R Ravi Md Pllc
DBA Doing business as
Authorized official Ravi, Prabha Reddy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2010
Last updated Jul 30th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285948463 NPPES
Michigan MEDICAID 1790118

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