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NPI Code Detail

MEDICARE: SUREN RAVURI MD

MEDICARE: SUREN RAVURI 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
1207Q00000XFamily Medicine Physician69349WI
2207R00000XInternal Medicine Physician69349WI
3208M00000XHospitalist Physician69349WI

General Provider Information

NPI Number : 1104063536
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUREN RAVURI MD
Provider Business Mailing Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5702
Country : US
Telephone Number : 715-387-5511
Fax Number :
Provider Business Practice Location Address
First Line : 1836 SOUTH AVE
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-5429
Country : US
Telephone Number : 608-782-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2009
Last Update Date : 06/11/2026

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