Bandaru, Ravali
Bandaru, Ravali is an individual health care provider with primary practice located at 2308 E Main St Suite G, New Iberia LA 70560-4041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bandaru, Ravali can be contacted via phone (337) 367-2001.Contact Information
Primary practice address
2308 E Main St Suite G
New Iberia LA 70560-4041
Phone: (337) 367-2001
Fax: (337) 365-3050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 207012 | Louisiana |
Profile Details
| NPI number | 1891103222 |
|---|---|
| LBN Legal business name | Bandaru, Ravali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2014 |
| Last updated | Sep 13th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891103222 | NPPES |
| Louisiana | MEDICAID | 2372874 |
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