Prasad, Ravi

Prasad, Ravi is an individual health care provider with primary practice located at 450 Broadway St Pavilion A, Mc 5340, Redwood City CA 94063-3132. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Prasad, Ravi can be contacted via phone (650) 723-6238.

Contact Information

Primary practice address
450 Broadway St Pavilion A, Mc 5340 Redwood City CA 94063-3132
Phone: (650) 723-6238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY19829 California

Profile Details

NPI number 1497881700
LBN Legal business name Prasad, Ravi
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Dec 23rd, 2011 - about 13 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 1497881700 NPPES
California MEDICAID PSY198290

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