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NPI Code Detail

MEDICARE: DR. RAVI S SIRIPURAPU MD

MEDICARE: DR. RAVI S SIRIPURAPU MD
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
1207R00000XInternal Medicine PhysicianM9662TX
2207R00000XInternal Medicine PhysicianM 9662TX

General Provider Information

NPI Number : 1467570895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAVI S SIRIPURAPU MD
Provider Business Mailing Address
First Line : PO BOX 271600
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75027-1600
Country : US
Telephone Number : 972-544-6600
Fax Number : 972-544-6604
Provider Business Practice Location Address
First Line : 1023 LIPSCOMB ST STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3102
Country : US
Telephone Number : 972-544-6600
Fax Number : 972-544-6604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 10/06/2023

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