Dr Subhaschandra Reddy Ravi, MD is a
General Practice physician based in Hartford, Michigan. Dr Subhaschandra Reddy Ravi is licensed to practice in Michigan (license number 4301037460) and his current practice location is 30 W Main St, Hartford, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 621-2166.
NPI number for Dr Subhaschandra Reddy Ravi is 1043379803 and his current mailing address is 30 W Main St, Hartford, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043379803.
Physician's Profile
| Full Name | Dr Subhaschandra Reddy Ravi |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 30 W Main St, Hartford, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043379803
- Provider Enumeration Date: 12/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Subhaschandra Reddy Ravi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043379803 | NPI | - | NPPES |
| 3508062072 | Other | MI | BCBS OF MICHIGAN |
| 11286631 | Other | MI | CAQH |
| 1790118 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 4301037460 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Subhaschandra Reddy Ravi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Subhaschandra Reddy Ravi, MD
30 W Main St,
Hartford, MI 49057-1005
Ph: (269) 621-2166 | Dr Subhaschandra Reddy Ravi, MD
30 W Main St,
Hartford, MI 49057-1005
Ph: (269) 621-2166 |
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