institution
Subhaschandra R Ravi Md Pllc
General Practice Physician in Hartford, Michigan
NPI 1285948463

Subhaschandra R Ravi Md Pllc is a General Practice Physician based in Hartford, MI. Subhaschandra R Ravi Md Pllc practices in Hartford, MI. The NPI Number for Subhaschandra R Ravi Md Pllc is 1285948463 and holds a License No. 4301037460 (Michigan).

The current practice location address for Subhaschandra R Ravi Md Pllc 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, 49057-8730
institution
Provider Profile Details
NPI Number
1285948463
Provider Name
Subhaschandra R Ravi Md Pllc
Credential
Provider Entity Type
Organization
Address
30 W Main St, Hartford, MI, 49057-8730
Phone Number
269-621-2166
Fax Number
269-621-2566
Provider Enumeration Date
07/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
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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