R B Ravi MD Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35041646R Issued in OH

Legal business name

R B RAVI MD INC

Practice address

2421 Lake Ave
Ashtabula, OH 44004-4953

Phone

(440) 997-0092

Fax

(440) 997-0093

NPI assigned

Aug 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raveendra Babu Ravi

Title

President

Phone

(440) 997-0092

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1477546778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044953",
            "telephone_number": "440-997-0092",
            "fax_number": "440-997-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044953",
            "telephone_number": "440-997-0092",
            "fax_number": "440-997-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R B RAVI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "RAVEENDRA",
        "authorized_official_middle_name": "BABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-997-0092",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35041646R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431143",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG1459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.