Ravindra Nath Polavarapu in Monroe - Addiction Medicine

Ravindra Nath Polavarapu - NPI 1578632089

Ravindra Nath Polavarapu is a Addiction Medicine in Monroe, Michigan. Ravindra Nath Polavarapu practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Ravindra Nath Polavarapu is 1578632089. The last update date is 2007-07-08.

Ravindra Nath Polavarapu's current location address is 700 Stewart Rd, Monroe, Michigan. You can contact this provider via phone number 7342401760 and fax number 7342401780. The mailing address for Ravindra Nath Polavarapu is 700 Stewart Rd, Monroe, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Ravindra Nath Polavarapu
Address 700 Stewart Rd, Monroe, Michigan
Phone Number 7342401760
Fax Number 7342401780
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1578632089
Provider Enumeration Date 2006-11-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 700 Stewart Rd
City Monroe
State Michigan (MI)
Post Code 481625304
Phone Number 7342401760
Fax Number 7342401780

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No 4301058454
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3476819 MI --
2605800952 MI BCBS

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FAQs about Ravindra Nath Polavarapu

What is the Ravindra Nath Polavarapu's 1578632089?

The Ravindra Nath Polavarapu's NPI (National Provider Identifier) Number is 1578632089. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ravindra Nath Polavarapu is physically located?

The Ravindra Nath Polavarapu is situated at the following address: 700 Stewart Rd, Monroe, MI 481625304.

What is Ravindra Nath Polavarapu's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ravindra Nath Polavarapu is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 2084A0401X.

On what date did the Centers for Medicare & Medicaid Services assign the 1578632089 to Ravindra Nath Polavarapu?

The Centers for Medicare & Medicaid Services assigned the 1578632089 to Ravindra Nath Polavarapu on 2006-11-07.

When was the information related to Ravindra Nath Polavarapu most recently updated or refreshed?

The details pertaining to the Ravindra Nath Polavarapu, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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