person
Dr. Subhaschandra Reddy Ravi, MD
General Practice Physician in Hartford, Michigan
NPI 1043379803

Subhaschandra Reddy Ravi is a General Practice Physician based in Hartford, MI. Subhaschandra Reddy Ravi practices in Hartford, MI and has the professional credentials of MD. The NPI Number for Subhaschandra Reddy Ravi is 1043379803 and holds a License No. 4301037460 (Michigan).

The current practice location address for Subhaschandra Reddy Ravi is 30 W Main St, Hartford, MI and can be reached out via phone at 269-621-2166 and via fax at 269-621-2566.

Location: 30 W Main St, Hartford, MI, 49057-1005
person
Provider Profile Details
NPI Number
1043379803
Provider Name
Subhaschandra Reddy Ravi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30 W Main St, Hartford, MI, 49057-1005
Phone Number
269-621-2166
Fax Number
269-621-2566
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3508062072 01 MI BCBS OF MICHIGAN
11286631 01 MI CAQH
1790118 05 MI
institution
Provider Business Practice Location Address Details
Address
30 W Main St
City
State
Zip
49057-1005
Phone Number
269-621-2166
Fax Number
269-621-2566
person
Provider Business Mailing Address Details
Address
30 W Main St
City
State
Zip
49057-1005
Phone Number
269-621-2166
Fax Number
269-621-2566
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301037460 (Michigan)
Definition
Definition to come...
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