| Sarala Ravikant Md Pc | |
|
38815 Dequindre Rd Ste 100 Troy MI 48083 | |
| (248) 879-8080 | |
| (248) 879-3462 |
| Full Name | Sarala Ravikant Md Pc |
|---|---|
| Speciality | Surgery |
| Location | 38815 Dequindre Rd, Troy, Michigan |
| Authorized Official Name and Position | Sarala Ravikant (PRESIDENT) |
| Authorized Official Contact | 2488798080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarala Ravikant Md Pc 38815 Dequindre Rd Ste 100 Troy MI 48083 Ph: (248) 879-8080 | Sarala Ravikant Md Pc 38815 Dequindre Rd Ste 100 Troy MI 48083 Ph: (248) 879-8080 |
| NPI Number | 1154482248 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567598980 |
|---|---|
| Medicare Enrollment ID | O20100324001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154482248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301033574 (Michigan) | Primary |
| 208600000X | Surgery | 4301033020 (Michigan) | Primary |
| Provider Name | Sarala G Ravikant |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184605032 PECOS PAC ID: 5991831315 Enrollment ID: I20100324001112 |
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