Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 298067 | NY |
NPI | 1013361021 |
---|---|
Provider Name | Ravi Katari |
First Address | New York, NY 10025-1716 |
Second Address | New York, NY 10025-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2016 |
Last Update Date | 08/01/2021 |