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General NPI Number Information
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NPI Number | 1699976936
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Entity Type | Individual
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Provider Name | RAM PRASAD RAVI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 1963 GRAND CONCOURSE FL 2
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City | BRONX
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State | NY
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Zip | 10453-4995
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Country | US
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Telephone | 319-335-4416
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Fax | 319-335-4225
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Provider Business Mailing Address
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Address Line | 71 BROADWAY APT 2G
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City | NEW YORK
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State | NY
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Zip | 10006-2603
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Country | US
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Telephone | 617-990-4744
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Fax |
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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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 265116
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License Number State | NY
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