Bolla, Ravisankar R

Bolla, Ravisankar R is an individual health care provider with primary practice located at 20455 Lorain Rd Second Floor, Fairview Park OH 44126-3494. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bolla, Ravisankar R can be contacted via phone (440) 333-8600.

Contact Information

Primary practice address
20455 Lorain Rd Second Floor Fairview Park OH 44126-3494
Phone: (440) 333-8600
Fax: (440) 333-5015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35059503B Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35059503 Ohio

Profile Details

NPI number 1730156993
LBN Legal business name Bolla, Ravisankar R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Sep 13th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730156993 NPPES
Other 10788832 CAQH

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