Ravuri, Rajesh
Ravuri, Rajesh is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-0000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ravuri, Rajesh can be contacted via phone (541) 267-5151.Contact Information
Primary practice address
1900 Woodland Dr
Coos Bay OR 97420-0000
Phone: (541) 267-5151
Fax: (541) 266-4505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD23904 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD23904 | Oregon |
Profile Details
| NPI number | 1952386112 |
|---|---|
| LBN Legal business name | Ravuri, Rajesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Nov 6th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952386112 | NPPES |
| Oregon | Other | 110233976 | RR MEDICARE PTAN NUMBER |
| Oregon | Other | R0000WFBTV | RR MEDICARE PTAN NUMBER |
| Oregon | Other | CD8723 | RR MEDICARE PTAN NUMBER |
| Oregon | Other | 1407812365 | RR MEDICARE PTAN NUMBER |
| Oregon | MEDICAID | 286464 | RR MEDICARE PTAN NUMBER |
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