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NPI Code Detail

MEDICARE: DR. RAVI POTHIREDDY M.D.

MEDICARE: DR. RAVI POTHIREDDY M.D.
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
1207R00000XInternal Medicine PhysicianME99683FL
2207R00000XInternal Medicine Physician35.144718OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578755476
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAVI POTHIREDDY M.D.
Provider Business Mailing Address
First Line : 333 N SUMMIT ST FL 7
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 BRIGHAM DR STE 200
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-7117
Country : US
Telephone Number : 567-585-0380
Fax Number : 567-585-0381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2007
Last Update Date : 11/03/2023

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Directions to “ DR. RAVI POTHIREDDY M.D.” Practice Location

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