Koopot, Ravi

Koopot, Ravi is an individual health care provider with primary practice located at 500 W Thomas Rd Suite 500, Phoenix AZ 85013-4224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Koopot, Ravi can be contacted via phone (602) 406-6458.

Contact Information

Primary practice address
500 W Thomas Rd Suite 500 Phoenix AZ 85013-4224
Phone: (602) 406-6458
Fax: (602) 406-6498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 15188 Arizona

Profile Details

NPI number 1205949211
LBN Legal business name Koopot, Ravi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Apr 24th, 2012 - about 13 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 1205949211 NPPES
Arizona MEDICAID 78032

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