Berry, Ravi Kumar
Berry, Ravi Kumar is an individual health care provider with primary practice located at 7117 Brockton Ave , Riverside CA 92506-2615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Berry, Ravi Kumar can be contacted via phone (951) 782-3690.Contact Information
Primary practice address
7117 Brockton Ave
Riverside CA 92506-2615
Phone: (951) 782-3690
Fax: (951) 784-3256
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A42441 | California |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | A42441 | California |
Profile Details
NPI number | 1407838220 |
---|---|
LBN Legal business name | Berry, Ravi Kumar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2005 |
Last updated | Feb 25th, 2020 - about 4 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 | 1407838220 | NPPES |
Other | ZZZ318877 | GROUP SITE NUMBER | |
Other | 1730180415 | GROUP SITE NUMBER |
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