DR. PAVAN KUMAR RAVIPATI


Address: 11800 E 12 Mile Rd, Warren, MI 48093-3472
Phone: 2489677123

DR. PAVAN KUMAR RAVIPATI (NPI# 1427686716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427686716
Entity Type Individual
Full Name DR. PAVAN KUMAR RAVIPATI
Credential M.D.
Practice Address 11800 E 12 Mile Rd
Warren
MI 48093-3472
Mailing Address 12000 E 12 Mile Rd
Warren
MI 48093-3570
Practice Telephone 2489677123
Mailing Telephone 2489677123
Enumeration Date 2020-03-31
Last Update Date 2020-03-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 11800 E 12 MILE RD
City WARREN
State MI
Zip Code 48093-3472

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740280940 Manisha Kaur Bajwa Pharmacist 11800 E 12 Mile Rd, Pharmacy Department, Warren, MI 48093-3472 2005-07-28
1679181986 Roxana Lionte Nurse Practitioner 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-07-22
1649893355 Patrick Yang Student in an Organized Health Care Education/Training Program 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-05-28
1831711936 Elisheva Ellenberg Nurse Practitioner 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-05-12
1962038885 Natasha Mehta Student in an Organized Health Care Education/Training Program 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-03-23
1194350645 Katherine Sara Streidl Nurse Anesthetist, Certified Registered 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-03-05
1891326898 Clara Poparad-stezar Student in an Organized Health Care Education/Training Program 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-01-28
1023653797 Lauren Ashley Shailor Nurse Practitioner 11800 E 12 Mile Rd, Warren, MI 48093-3472 2019-11-16
1700428984 Olivia Lynn Hedman Dietitian, Registered 11800 E 12 Mile Rd, Warren, MI 48093-3472 2019-10-09
1508407446 Zachary King Physician Assistant 11800 E 12 Mile Rd, Warren, MI 48093-3472 2019-10-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615986 Toleka Regina Taylor Nurse Anesthetist, Certified Registered St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 2020-10-05
1679112676 Open Heart Communities Case Management 31310 Shaw Dr, Warren, MI 48093 2019-12-23
1538715636 3 Dove Medical Supplies Durable Medical Equipment & Medical Supplies 31201 Chicago Rd S Ste C101, Warren, MI 48093 2019-08-14
1568954600 Schreiber Cardiology, P.C. Internal Medicine 8545 Common Rd Ste 150, Warren, MI 48093 2018-06-05
1730686197 Lambro Seremetis Social Worker 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 2018-04-11
1649775826 Ridge Downs Behavioral Analyst 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 2018-03-28
1144722737 Jessica Farraj Occupational Therapist 11800 E. 12 Mile Road, Warren, MI 48093 2018-02-28
1265930168 Leah Hanrahan Registered Nurse 11700 Amberle Dr., Warren, MI 48093 2018-01-25
1598271553 Pamela Marie Confer Occupational Therapist 11012 13 Mile Rd, Suite 200, Warren, MI 48093 2017-12-28
1831604347 Kate Jeanne Szczepanski Behavior Technician 31200 Chicago Rd S, Warren, MI 48093 2017-12-06
Find all providers in zip 48093

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy 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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083239792 Krutarth Kandarp Pandya Student in an Organized Health Care Education/Training Program 1350 East Market Street 7th Floor, Warren, OH 44483 2020-06-09
1902435738 Peter Alexander Iskander Student in an Organized Health Care Education/Training Program 1350 E Market Street, 7th Floor, Warren, OH 44483 2020-04-03
1093344822 Matthew Jacob Student in an Organized Health Care Education/Training Program 1350 East Market Street, 7th Floor, Warren, OH 44483 2020-04-03
1265069967 Luis Ariel Crespo Student in an Organized Health Care Education/Training Program 1350 E Market St Fl 7, Warren, OH 44483-6608 2020-03-24
1720615420 Cindy Tran Student in an Organized Health Care Education/Training Program 1350 E Market St Fl 7th, Warren, OH 44483-6608 2020-03-24
1225679608 Robert James Robine Jr. Student in an Organized Health Care Education/Training Program 8405 Hettenberger Ave, Warren, MI 48093-4968 2019-10-07
1306405527 Caroline Kwon Student in an Organized Health Care Education/Training Program 4 Hardwood Ct, Warren, NJ 07059-2700 2019-06-11
1306309638 Sameer Raj Joshi Student in an Organized Health Care Education/Training Program 1350 East Market Street, Warren, OH 44483 2019-04-12
1033671128 Gopal A Desai Student in an Organized Health Care Education/Training Program 45 Briarwood Dr E, Warren, NJ 07059-6780 2019-04-05
1538656921 Biswaraj Tharu Student in an Organized Health Care Education/Training Program 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 2018-04-20
Find all providers in WARREN

Competitor

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City WARREN
Zip Code 48093

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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