Mididoddi, Ravi
Mididoddi, Ravi is an individual health care provider with primary practice located at 16010 Park Valley Dr Ste 100 , Round Rock TX 78681-3575. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mididoddi, Ravi can be contacted via phone (512) 320-1500.Contact Information
Primary practice address
16010 Park Valley Dr Ste 100
Round Rock TX 78681-3575
Phone: (512) 320-1500
Fax: (512) 459-1399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M4881 | Texas |
Profile Details
| NPI number | 1235176710 |
|---|---|
| LBN Legal business name | Mididoddi, Ravi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jul 21st, 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 | 1235176710 | NPPES |
| Texas | MEDICAID | 182797409 |
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