Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301075875 | MI |
N | 111NI0900X | Internist | 4301075875 | MI |
Y | 207RG0100X | Gastroenterologist | 0101243737 | VA |
NPI | 1023125291 |
---|---|
Provider Name | Dr. Ravi K Vachhani |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 10/07/2008 |