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NPI Code Detail

MEDICARE: DR. DAVE RAVI M.D.

MEDICARE: DR. DAVE RAVI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician18107HI
2390200000XStudent in an Organized Health Care Education/Training Program
32084P0800XPsychiatry PhysicianA156663CA

General Provider Information

NPI Number : 1043501364
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVE RAVI M.D.
Provider Business Mailing Address
First Line : 1356 LUSITANA ST
Second Line : 4TH FLOOR
City : HONOLULU
State : HI
Zip : 96813-2409
Country : US
Telephone Number : 808-586-7445
Fax Number :
Provider Business Practice Location Address
First Line : 421 N BROOKHURST ST STE 119
Second Line :
City : ANAHEIM
State : CA
Zip : 92801-5618
Country : US
Telephone Number : 714-361-0898
Fax Number : 714-276-2604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2011
Last Update Date : 07/25/2024

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Directions to “ DR. DAVE RAVI M.D.” Practice Location

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