Kothuru, Ravi

Kothuru, Ravi is an sole proprietor health care provider with primary practice located at 9413 Flatlands Ave Suite 002 East, Brooklyn NY 11236-3726. 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. Kothuru, Ravi can be contacted via phone (718) 257-7770.

Contact Information

Primary practice address
9413 Flatlands Ave Suite 002 East Brooklyn NY 11236-3726
Phone: (718) 257-7770
Fax: (718) 257-7550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 223921 New York

Profile Details

NPI number 1649227794
LBN Legal business name Kothuru, Ravi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Oct 16th, 2013 - 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 1649227794 NPPES
New York MEDICAID 02362307

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