Mishra, Ravi

Mishra, Ravi is an individual health care provider with primary practice located at 836 W Wellington Ave , Chicago IL 60657-5147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Mishra, Ravi can be contacted via phone (773) 296-5435.

Contact Information

Primary practice address
836 W Wellington Ave Chicago IL 60657-5147
Phone: (773) 296-5435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036-112466 Illinois

Profile Details

NPI number 1841238276
LBN Legal business name Mishra, Ravi
Credentials M.B.B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 9th, 2022 - 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 1841238276 NPPES
Illinois MEDICAID 036-112466
Illinois Other 214881

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