MEDICARE: DR. HARI PRASAD RAVIPATI 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
1	207RH0003X	Hematology & Oncology Physician	ME164649	FL
2	207RH0003X	Hematology & Oncology Physician	069699	GA

General Provider Information

NPI Number	:	1316268782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARI PRASAD RAVIPATI M.D

Provider Business Mailing Address
First Line	:	907 18TH ST E STE 150
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-3690
Country	:	US
Telephone Number	:	229-353-3422
Fax Number	:	229-353-6060

Provider Business Practice Location Address
First Line	:	1775 ONE HEALING PL
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4600
Country	:	US
Telephone Number	:	850-431-5360
Fax Number	:	850-431-5367

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2010
Last Update Date	:	12/12/2025

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