Most Relevant Information
Provider Data
| NPI Number: | 1003075177 |
| Provider Name: | RENU R RAVI M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | TRN12336 |
Most Important Dates
| Enumeration Date: | 06/04/2008 |
| Last Updated: | 12/16/2014 |
Provider Practice Location
5955 PONCE DE LEON BLVD.
CORAL GABLES
FL
33146
Practice Location Phone/Fax
| Phone: | 3056611515 |
| Fax: | 3056623723 |
Provider Mailing Location
5955 PONCE DE LEON BLVD.
CORAL GABLES
FL
33146
Provider Mailing Phone/Fax
| Phone: | 3056611515 |
| Fax: | 3056623723 |