Provider Demographics
NPI:1215111752
Name:RAVULA, SREELAKSHMI (MD,)
Entity type:Individual
Prefix:DR
First Name:SREELAKSHMI
Middle Name:
Last Name:RAVULA
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DAVID GEFFEN SCHOOL OF MEDICINE PATHOLOGY
Mailing Address - Street 2:10833 LE CONTE AVE, 13-145G CHS
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-0001
Mailing Address - Country:US
Mailing Address - Phone:310-825-5719
Mailing Address - Fax:
Practice Address - Street 1:DAVID GEFFEN SCHOOL OF MEDICINE PATHOLOGY
Practice Address - Street 2:10833 LE CONTE AVE, 13-145G CHS
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-825-5719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115618207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology