Botla, Ravi

Botla, Ravi is an individual health care provider with primary practice located at 621 Camden Street Suite 202, San Antonio TX 78215-1639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Botla, Ravi can be contacted via phone (210) 253-3422.

Contact Information

Primary practice address
621 Camden Street Suite 202 San Antonio TX 78215-1639
Phone: (210) 253-3422
Fax: (210) 227-9833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X J7912 Texas

Profile Details

NPI number 1366540544
LBN Legal business name Botla, Ravi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 22nd, 2017 - 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 1366540544 NPPES
Texas Other 930072561 MEDICARE - RAILROAD
Texas MEDICAID 136549604 MEDICARE - RAILROAD
Texas Other 87500S MEDICARE - RAILROAD

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