Wali, Ravinder K.

Wali, Ravinder K. is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wali, Ravinder K. can be contacted via phone (508) 334-3155.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 295408 Massachusetts

Profile Details

NPI number 1821030933
LBN Legal business name Wali, Ravinder K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 17th, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821030933 NPPES
Maryland Other 708035-01 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 5852170 BLUE CROSS/BLUE SHIELD
Maryland MEDICAID 0061702400 BLUE CROSS/BLUE SHIELD

Popular Providers