Healthcare Provider Details

I. General information

NPI: 1891478160
Provider Name (Legal Business Name): RAVINDRA ALAPATI MD CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1771 W ROMNEYA DR STE D
ANAHEIM CA
92801-1817
US

IV. Provider business mailing address

1771 W ROMNEYA DR STE D
ANAHEIM CA
92801-1817
US

V. Phone/Fax

Practice location:
  • Phone: 714-758-0403
  • Fax: 714-917-0785
Mailing address:
  • Phone: 714-758-0403
  • Fax: 714-917-0785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RAVINDRA ALAPATI
Title or Position: PRESIDENT
Credential: MD
Phone: 714-758-0403