Damaraju, Ravi K

Damaraju, Ravi K is an individual health care provider with primary practice located at 1710 N Randall Rd. Suite 330 , Elgin IL 60123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Damaraju, Ravi K can be contacted via phone (847) 531-5911.

Contact Information

Primary practice address
1710 N Randall Rd. Suite 330 Elgin IL 60123
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036.096969 Illinois

Profile Details

NPI number 1669586475
LBN Legal business name Damaraju, Ravi K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jan 24th, 2023 - about 2 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 1669586475 NPPES
Illinois MEDICAID 036-096969

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