person
Raviteja Suryadevara, MD
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1487282034

Raviteja Suryadevara is a Student in an Organized Health Care Education/Training Program based in Louisville, KY. Raviteja Suryadevara practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Raviteja Suryadevara is 1487282034 and holds a License No. (Kentucky).

The current practice location address for Raviteja Suryadevara is 530 S Jackson St # C07, Louisville, KY and can be reached out via phone at 502-852-5875.

Location: 530 S Jackson St # C07, Louisville, KY, 40202-1675
person
Provider Profile Details
NPI Number
1487282034
Provider Name
Raviteja Suryadevara
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
530 S Jackson St # C07, Louisville, KY, 40202-1675
Phone Number
502-852-5875
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 S Jackson St # C07
City
State
Zip
40202-1675
Phone Number
502-852-5875
Fax Number
person
Provider Business Mailing Address Details
Address
530 S Jackson St # C07
City
State
Zip
40202-1675
Phone Number
502-852-5875
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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