Provider Demographics
NPI:1912989773
Name:ALAPATI, RAVINDRA (MD)
Entity type:Individual
Prefix:
First Name:RAVINDRA
Middle Name:
Last Name:ALAPATI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 SW 5TH AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5537
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:333 SE 7TH AVE STE 5200
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4182
Practice Address - Country:US
Practice Address - Phone:503-681-4310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45634207RG0100X
ORMD224189207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A456340424OtherCALOPTIMA
100015946OtherRR MEDICARE
CA00A456340Medicaid
100016965OtherRR MEDICARE
CA00A456340Medicaid
100016965OtherRR MEDICARE
100015946OtherRR MEDICARE
CAWA45634HMedicare ID - Type Unspecified