Prakash, Ravi K

Prakash, Ravi K is an individual health care provider with primary practice located at 1221 N Highland Ave , Aurora IL 60506-1404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Prakash, Ravi K can be contacted via phone (630) 859-8700.

Contact Information

Primary practice address
1221 N Highland Ave Aurora IL 60506-1404
Phone: (630) 859-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036.138013 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57.014359 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME118395 Florida

Profile Details

NPI number 1053575399
LBN Legal business name Prakash, Ravi K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2008
Last updated Oct 25th, 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 1053575399 NPPES
Florida MEDICAID 012210500

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