Thiruvengadam, Ravi

Thiruvengadam, Ravi is an sole proprietor health care provider with primary practice located at 6950 Brockton Ave Ste 3 , Riverside CA 92506-3830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Thiruvengadam, Ravi can be contacted via phone (951) 788-7805.

Contact Information

Primary practice address
6950 Brockton Ave Ste 3 Riverside CA 92506-3830
Phone: (951) 788-7805
Fax: (951) 788-7906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A044566 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A044566 California

Profile Details

NPI number 1598758112
LBN Legal business name Thiruvengadam, Ravi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Jul 11th, 2023 - about 2 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 1598758112 NPPES
California MEDICAID 00A445661

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