Kodali, Ravi Prakash
Kodali, Ravi Prakash is an individual health care provider with primary practice located at 2213 Cherry St Attn: Mrg Associates, Llc - Radiology Dept., Toledo OH 43608-2603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kodali, Ravi Prakash can be contacted via phone (419) 251-4340.Contact Information
Primary practice address
2213 Cherry St Attn: Mrg Associates, Llc - Radiology Dept.
Toledo OH 43608-2603
Phone: (419) 251-4340
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35083623 | Ohio |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 35083623 | Ohio |
Profile Details
NPI number | 1962587295 |
---|---|
LBN Legal business name | Kodali, Ravi Prakash |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1962587295 | NPPES |
Ohio | MEDICAID | 2504758 | |
Ohio | Other | 35083623 |
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