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General NPI Number Information
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NPI Number | 1538604822
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Entity Type | Individual
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Provider Name | RAVISH PRAJAPATI
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Gender | Male
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Dates
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Enumeration Date | 12/22/2016
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1201 S ORANGE AVE
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City | EL CAJON
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State | CA
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Zip | 92020-7521
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Country | US
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Telephone | 872-231-3162
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7410882
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City | CHICAGO
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State | IL
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Zip | 60674-0882
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Country | US
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Telephone | 702-899-0595
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Fax | 702-977-1496
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 020488
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 55959
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License Number State | CA
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