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General NPI Number Information
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NPI Number | 1003870841
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Entity Type | Individual
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Provider Name | ARNOLD S. RAVICK D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 1145 19TH STREET, N.W. SUITE 409
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City | WASHINGTON
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State | DC
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Zip | 20036-3716
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Country | US
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Telephone | 202-223-0500
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Fax | 202-296-2531
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Provider Business Mailing Address
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Address Line | 1145 19TH ST NW SUITE #409
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City | WASHINGTON
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State | DC
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Zip | 20036-3701
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Country | US
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Telephone | 301-455-3566
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Fax | 202-296-2531
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO326
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License Number State | DC
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