Madala, Ravichand

Madala, Ravichand is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 200 , Grand Rapids MI 49546-8292. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Madala, Ravichand can be contacted via phone (616) 391-3759.

Contact Information

Primary practice address
4100 Lake Dr Se Ste 200 Grand Rapids MI 49546-8292
Phone: (616) 391-3759
Fax: (616) 391-3052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.089399 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35089399 Ohio
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 4301102594 Michigan

Profile Details

NPI number 1083730907
LBN Legal business name Madala, Ravichand
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 25th, 2021 - about 5 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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