Kathleen M Raviele in Decatur - Gynecology

Kathleen M Raviele - NPI 1508954298

Kathleen M Raviele is a Gynecology in Decatur, Georgia. Kathleen M Raviele practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Kathleen M Raviele is 1508954298. The last update date is 2015-07-08.

Kathleen M Raviele's current location address is 2799 Lawrenceville Hwy, Decatur, Georgia. You can contact this provider via phone number 7704910255 and fax number 7704918157. The mailing address for Kathleen M Raviele is 2799 Lawrenceville Hwy, Decatur, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen M Raviele
Address 2799 Lawrenceville Hwy, Decatur, Georgia
Phone Number 7704910255
Fax Number 7704918157
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1508954298
Provider Enumeration Date 2006-10-10
Last Updated Date 2015-07-08

Provider Mailing Address Detail

Address 2799 Lawrenceville Hwy
City Decatur
State Georgia (GA)
Post Code 300332517
Phone Number 7704910255
Fax Number 7704918157

Provider's Primary Taxonomy Detail

Speciality Gynecology
Taxonomy 207Vg0400X
Licence No 20801
Definition:
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000179935C GA --
160056472 GA MEDICARE RAILROAD PALMETT
7406947 GA UNITED HEALTHCARE
16BDCCB GA PTAN

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FAQs about Kathleen M Raviele

What is the unique 10-digit identifier code issued to Kathleen M Raviele by the Centers for Medicare & Medicaid Services?

The Kathleen M Raviele has been assigned the NPI (National Provider Identifier) 1508954298 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kathleen M Raviele is physically located?

The Kathleen M Raviele is situated at the following address: 2799 Lawrenceville Hwy, Decatur, GA 300332517.

What is Kathleen M Raviele's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kathleen M Raviele is Gynecology, and the corresponding taxonomy classification code for this specialized field is 207Vg0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1508954298 to Kathleen M Raviele?

The Centers for Medicare & Medicaid Services assigned the 1508954298 to Kathleen M Raviele on 2006-10-10.

As of what date were the details related to Kathleen M Raviele most recently updated or revised?

The information pertaining to Kathleen M Raviele, including its address, specialty, and other relevant details, was last updated or revised on 2015-07-08.

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