Prakash, Ravi

Prakash, Ravi is an sole proprietor health care provider with primary practice located at 80 Sherman St , Norwich CT 06360-4106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Prakash, Ravi can be contacted via phone (860) 886-0202.

Contact Information

Primary practice address
80 Sherman St Norwich CT 06360-4106
Phone: (860) 886-0202
Fax: (860) 886-5068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 035836 Connecticut

Profile Details

NPI number 1982698445
LBN Legal business name Prakash, Ravi
Credentials MD., FAAP DABP MRCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Oct 22nd, 2008 - about 17 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 1982698445 NPPES
Connecticut Other 2453549 AETNA
Connecticut MEDICAID 001358367 AETNA
Connecticut Other 00135836703 AETNA
Connecticut Other 0V8084 AETNA
Connecticut Other 1241197 AETNA
Connecticut Other 4682678002 AETNA
Connecticut Other P2061637 AETNA
Connecticut Other 010035836CT02 AETNA
Connecticut Other 744319 AETNA

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