| Subhaschandra R Ravi Md Pllc | |
|
30 W Main St Hartford MI 49057-1005 | |
| (269) 621-2166 | |
| (269) 621-2566 |
| Full Name | Subhaschandra R Ravi Md Pllc |
|---|---|
| Speciality | General Practice |
| Location | 30 W Main St, Hartford, Michigan |
| Authorized Official Name and Position | Prabha Reddy Ravi (OFFICE MANAGER) |
| Authorized Official Contact | 2696212166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Subhaschandra R Ravi Md Pllc 30 W Main St Hartford MI 49057-8730 Ph: (269) 621-2166 | Subhaschandra R Ravi Md Pllc 30 W Main St Hartford MI 49057-1005 Ph: (269) 621-2166 |
| NPI Number | 1285948463 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 07/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285948463 | NPI | - | NPPES |
| 1790118 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301037460 (Michigan) | Primary |
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