Ravipati, Madhavi L

Ravipati, Madhavi L is an individual health care provider with primary practice located at 1617 N California St Suite 2-A, Stockton CA 95204-6117. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Ravipati, Madhavi L can be contacted via phone (209) 466-8546.

Contact Information

Primary practice address
1617 N California St Suite 2-A Stockton CA 95204-6117
Fax: (209) 466-3335
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A98168 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A98168 California

Profile Details

NPI number 1124227632
LBN Legal business name Ravipati, Madhavi L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Dec 15th, 2021 - 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 1124227632 NPPES
California Other 1386636165 GROUP NPI
California MEDICAID 00A981680 GROUP NPI

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