Asklepios, LLC

Organization Active NPI Internal Medicine Physician · Randallstown, MD

NPI 1972976298 · NPPES record last updated Feb 15, 2016

Key facts

NPI
1972976298
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
D37333 (MD)
Legal business name
ASKLEPIOS, LLC
Practice address
5400 Old Court Rd
Suite 204
Randallstown, MD 21133-5100
Phone
(410) 521-4211
Fax
(410) 521-0627
NPI assigned
Nov 9, 2015
Organization subpart
No

Authorized official

Name
Chaitanya Kumar Ravi, M.D.
Title
Owner
Phone
(410) 521-4211

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X D37333 MD Yes

Addresses

Primary practice location

5400 Old Court Rd
Suite 204
Randallstown, MD 21133-5100

Mailing address

5400 Old Court Rd
Suite 204
Randallstown, MD 21133-5100
Phone (410) 521-4211

Other identifiers

IdentifierTypeStateIssuer
594321300MedicaidMD

Other providers in Randallstown, MD

All providers in Randallstown, MD · Internal Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.