Polavarapu, Ravindra Nath

Polavarapu, Ravindra Nath is an individual health care provider with primary practice located at 700 Stewart Rd Suite 105, Monroe MI 48162-5304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Polavarapu, Ravindra Nath can be contacted via phone (734) 240-1760.

Contact Information

Primary practice address
700 Stewart Rd Suite 105 Monroe MI 48162-5304
Phone: (734) 240-1760
Fax: (734) 240-1780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 4301058454 Michigan

Profile Details

NPI number 1578632089
LBN Legal business name Polavarapu, Ravindra Nath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1578632089 NPPES
Michigan MEDICAID 3476819
Michigan Other 2605800952

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