Ravive Plastic Surgery & Med Spa

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

RAVIVE PLASTIC SURGERY & MED SPA

Doing business as

Ravive Palstic Surgery & Med Spa

Practice address

3741 W Neptune St
Tampa, FL 33629-5118

Phone

(813) 709-7511

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Deepa Bhat, MD

Title

Owner

Phone

(813) 709-7511

Specialties & licenses 1

Addresses

Other names 1

• Ravive Palstic Surgery & Med Spa Doing business as

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1508631847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 NORTHSIDE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612236",
            "telephone_number": "727-499-0351",
            "fax_number": "727-223-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 W NEPTUNE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295118",
            "telephone_number": "813-709-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVIVE PLASTIC SURGERY & MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "BHAT",
        "authorized_official_first_name": "DEEPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-709-7511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravive Palstic Surgery & Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taryn N Raval, APRN
• Elein Ravelo, PHARMD
• Ravi Viradia MD LLC
• Sairekha Ravichandran, MD
• Murthy Ravipati, M.D.
• Raw Fusion Living, LLC
• Muneer Rawagah, MD
• Nidhi Rawat
• Katarina Rawlins
• Shannon Bayne Rawls, MS CCC-SLP

• Plastic Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.