| Dr Ravi Botla, MD | |
|
621 Camden Street, Suite 202, San Antonio, TX 78215-1639 | |
| (210) 253-3422 | |
| (210) 227-9833 |
| Full Name | Dr Ravi Botla |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 42 Years |
| Location | 621 Camden Street, San Antonio, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366540544 | NPI | - | NPPES |
| 930072561 | Other | TX | MEDICARE - RAILROAD |
| 136549604 | Medicaid | TX | |
| 87500S | Other | TX | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | J7912 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
| Mark Twain Medical Center | San andreas, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dignity Health Medical Foundation | 7810800661 | 1170 |
| Entity Name | Dignity Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ravi Botla, MD Po Box 75235, Dallas, TX 75235-0629 Ph: (214) 424-2200 | Dr Ravi Botla, MD 621 Camden Street, Suite 202, San Antonio, TX 78215-1639 Ph: (210) 253-3422 |
Dr. Dennis Anthony Ruff, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112 | |
Eduardo N. Pollono, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960 | |
Zarema J Singson, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952 | |
Sapna Raghunathan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065 | |
Dr. Jonathan Edward Slovik, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-0647 | |
Mr. Paul Joseph Fanucchi, NP Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: Marianist Residence, 520 Fondham, San Antonio, TX 78228 Phone: 210-434-4157 Fax: 210-433-6005 | |
Socrates B Aramburu, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212 Phone: 210-271-3204 Fax: 210-222-2761 |