Konchigeri, Ravi Halappa

Konchigeri, Ravi Halappa is an individual health care provider with primary practice located at 9985 Sierra Ave Dept. Of Cardiology, Fontana CA 92335-6720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Konchigeri, Ravi Halappa can be contacted via phone (909) 427-4000.

Contact Information

Primary practice address
9985 Sierra Ave Dept. Of Cardiology Fontana CA 92335-6720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A74716 California

Profile Details

NPI number 1194767459
LBN Legal business name Konchigeri, Ravi Halappa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 29th, 2021 - about 3 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 1194767459 NPPES
California MEDICAID 00A747160

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