MEDICARE: RAVI KANT 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
1	2084P0800X	Psychiatry Physician	MD047435L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821298506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAVI KANT MD

Provider Business Mailing Address
First Line	:	200 OLD POND RD
Second Line	:	104
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-1269
Country	:	US
Telephone Number	:	412-220-7323
Fax Number	:	412-220-7325

Provider Business Practice Location Address
First Line	:	200 OLD POND RD
Second Line	:	104
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-1269
Country	:	US
Telephone Number	:	412-220-7323
Fax Number	:	412-220-7325

Authorized Official
Title or Position	:	OFF. MANAGER
Name	:	MRS. TAMMY A COLEMAN
Credential	:	AS
Telephone Number	:	412-220-7323

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	07/20/2007

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Directions to “RAVI KANT MD ” Practice Location

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