Organization Active NPI

Ravi Gorav MD PA

  • Facial Plastic Surgery Physician
  • Las Cruces, NM
National Provider Identifier
1619183597
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
2002-0274 Issued in NM
Legal business name
RAVI GORAV MD PA
Practice address
2540 S Telshor Blvd
Las Cruces, NM 88011-4907
Phone
(575) 522-7982
Fax
(575) 522-7987
NPI assigned
May 15, 2007
Last updated
Nov 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Dr. Ravi Gorav, M.D.
Title
President
Phone
(575) 522-7982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 2002-0274 NM Primary

Addresses

Primary practice location

2540 S Telshor Blvd
Las Cruces, NM 88011-4907

Mailing address

2540 S Telshor Blvd
Las Cruces, NM 88011-4907
Phone (575) 522-7982

National Provider Directory

National Provider Directory

Locations

2477 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-7982

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1619183597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114907",
            "telephone_number": "575-522-7982",
            "fax_number": "575-522-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114907",
            "telephone_number": "575-522-7982",
            "fax_number": "575-522-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI GORAV MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "GORAV",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-522-7982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NM",
            "license": "2002-0274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.