Provider Demographics
NPI:1699976936
Name:RAVI, RAM PRASAD (MD)
Entity type:Individual
Prefix:
First Name:RAM
Middle Name:PRASAD
Last Name:RAVI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:71 BROADWAY APT 2G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006-2603
Mailing Address - Country:US
Mailing Address - Phone:617-990-4744
Mailing Address - Fax:
Practice Address - Street 1:1963 GRAND CONCOURSE FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4995
Practice Address - Country:US
Practice Address - Phone:319-335-4416
Practice Address - Fax:319-335-4225
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2024-09-06
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Provider Licenses
StateLicense IDTaxonomies
NY2651162083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine