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Pavan Mahendra Ravella, MD
Medical Oncology Physician in Lafayette, Indiana
NPI 1710212147

Pavan Mahendra Ravella is a Medical Oncology Physician based in Muncie, IN and is specialized in Medical Oncology. Pavan Mahendra Ravella practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for Pavan Mahendra Ravella is 1710212147 and holds a License No. (Indiana).

The current practice location address for Pavan Mahendra Ravella is 420 N 26Th St, Lafayette, IN and can be reached out via phone at 765-448-8000. You can also correspond with Pavan Mahendra Ravella through the mailing address at 1200 W WHITE RIVER BLVD, MUNCIE, IN - 47303-4988 (mailing address contact number: 877-668-5621).

Location: 420 N 26Th St, Lafayette, IN, 47303-4988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710212147
Provider Name
Pavan Mahendra Ravella
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 N 26Th St, Lafayette, IN, 47303-4988
Phone Number
765-448-8000
Fax Number
Provider Enumeration Date
10/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201320510 05 IN
000000964118 01 IN ANTHEM PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
420 N 26Th St
City
Lafayette
State
Indiana
Zip
47904-2848
Phone Number
765-448-8000
Fax Number
person
Provider Business Mailing Address Details
Address
420 N 26Th St
City
Lafayette
State
Indiana
Zip
47904-2848
Phone Number
765-448-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology
Taxonomy
207RH0000X
License No.
01075948A (Indiana)
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
01075948A (Indiana)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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