Subraya, Raviprasad G

Subraya, Raviprasad G is an individual health care provider with primary practice located at 483 N Semoran Blvd Ste 102, Winter Park FL 32792-3800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Subraya, Raviprasad G can be contacted via phone (407) 645-1847.

Contact Information

Primary practice address
483 N Semoran Blvd Ste 102 Winter Park FL 32792-3800
Phone: (407) 645-1847
Fax: (321) 274-0246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME91280 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME91280 Florida

Profile Details

NPI number 1205838596
LBN Legal business name Subraya, Raviprasad G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 19th, 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 1205838596 NPPES
Florida Other 1106338 HUMANA PROV ID #
Florida MEDICAID 271152400 HUMANA PROV ID #
Florida Other 1131656 HUMANA PROV ID #
Florida Other 1949605 HUMANA PROV ID #
Florida Other 50058 HUMANA PROV ID #
Florida Other 17708 HUMANA PROV ID #
Florida Other 57215 HUMANA PROV ID #
Florida Other P00216444 HUMANA PROV ID #

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