| Suman C Ravuri Md Pa | |
|
1317 Lake Pointe Pkwy Sugar Land TX 77478-3997 | |
| (718) 288-8203 | |
| Not Available |
| Full Name | Suman C Ravuri Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1317 Lake Pointe Pkwy, Sugar Land, Texas |
| Authorized Official Name and Position | Suman C Ravuri (PRESIDENT) |
| Authorized Official Contact | 7182888203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suman C Ravuri Md Pa 702 Weldon Park Dr Sugar Land TX 77479-3524 Ph: (718) 288-8203 | Suman C Ravuri Md Pa 1317 Lake Pointe Pkwy Sugar Land TX 77478-3997 Ph: (718) 288-8203 |
| NPI Number | 1912385147 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 07/27/2016 |
| Medicare PECOS PAC ID | 3678886157 |
|---|---|
| Medicare Enrollment ID | O20150714000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912385147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Suman C Ravuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659398089 PECOS PAC ID: 2860495504 Enrollment ID: I20110520000516 |
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