Provider Demographics
NPI:1427234442
Name:RAVAL, DIPA K (MD)
Entity type:Individual
Prefix:DR
First Name:DIPA
Middle Name:K
Last Name:RAVAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5454 WISCONSIN AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:301-215-4460
Mailing Address - Fax:301-215-4499
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-215-4460
Practice Address - Fax:301-215-4499
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0067156207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine