Samraj, Ravi Shankar
Samraj, Ravi Shankar is an individual health care provider with primary practice located at 3533 S Alameda St , Corpus Christi TX 78411-1721. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Samraj, Ravi Shankar can be contacted via phone (361) 694-5445.Contact Information
Primary practice address
3533 S Alameda St
Corpus Christi TX 78411-1721
Phone: (361) 694-5445
Fax: (361) 694-5449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | R7315 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R7315 | Texas |
Profile Details
| NPI number | 1538475520 |
|---|---|
| LBN Legal business name | Samraj, Ravi Shankar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2010 |
| Last updated | Nov 19th, 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 | 1538475520 | NPPES |
| Texas | MEDICAID | 3874075-03 | |
| Texas | MEDICAID | 009005700 | |
| Texas | MEDICAID | 3874075-01 |
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