institution
Ravi K Titha Md Pc
Primary Care Clinic/Center in Richlands, Virginia
NPI 1588826929

Ravi K Titha Md Pc is a Primary Care Clinic/Center based in Richlands, VA and is specialized in Primary Care. Ravi K Titha Md Pc practices in Richlands, VA. The NPI Number for Ravi K Titha Md Pc is 1588826929 and holds a License No. 0101235493 (Virginia).

The current practice location address for Ravi K Titha Md Pc is 3150 Clinch St, Richlands, VA and can be reached out via phone at 276-964-6711 and via fax at 276-964-2240.

Location: 3150 Clinch St, Richlands, VA, 24641-2172
institution
Provider Profile Details
NPI Number
1588826929
Provider Name
Ravi K Titha Md Pc
Credential
Provider Entity Type
Organization
Address
3150 Clinch St, Richlands, VA, 24641-2172
Phone Number
276-964-6711
Fax Number
276-964-2240
Provider Enumeration Date
06/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010063671 05 VA
010163800 01 VA FEDERAL BLACK LUNG
164419 01 VA BLUECROSS BLUESHEILD
institution
Provider Business Practice Location Address Details
Address
3150 Clinch St
City
State
Zip
24641-2172
Phone Number
276-964-6711
Fax Number
276-964-2240
person
Provider Business Mailing Address Details
Address
3150 Clinch St
City
State
Zip
24641-2172
Phone Number
276-964-6711
Fax Number
276-964-2240
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
0101235493 (Virginia)
Definition
Definition to come...
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