| Ravi Medi | |
|
2626 John Ben Shepperd Pkwy C-129 Odessa TX 79761-1958 | |
| (432) 333-1333 | |
| (432) 333-1335 |
| Full Name | Ravi Medi |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2626 John Ben Shepperd Pkwy, Odessa, Texas |
| Authorized Official Name and Position | Madu Medi (OFFICE MANAGER) |
| Authorized Official Contact | 4323331333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravi Medi 2626 John Ben Shepperd Pkwy C-129 Odessa TX 79761-1958 Ph: (432) 333-1333 | Ravi Medi 2626 John Ben Shepperd Pkwy C-129 Odessa TX 79761-1958 Ph: (432) 333-1333 |
| NPI Number | 1235286535 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 4789630781 |
|---|---|
| Medicare Enrollment ID | O20050323000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235286535 | NPI | - | NPPES |
| 1578296-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ravi Medi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386621977 PECOS PAC ID: 7012963010 Enrollment ID: I20100902000801 |
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