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NPI Code Detail

MEDICARE: ORDAIN PRAHAAS RAVULA DO

MEDICARE: ORDAIN PRAHAAS RAVULA DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1447194485
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORDAIN PRAHAAS RAVULA DO
Provider Business Mailing Address
First Line : 8635 STANDING STONE
Second Line :
City : BALL GROUND
State : GA
Zip : 30107-2437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2122 MANCHESTER EXPY
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-6878
Country : US
Telephone Number : 706-596-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ ORDAIN PRAHAAS RAVULA DO” Practice Location

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