Provider Demographics
NPI:1437902517
Name:RAVAT, FATEMA BURHAN (MD)
Entity Type:Individual
Prefix:
First Name:FATEMA
Middle Name:BURHAN
Last Name:RAVAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAROL CHURCH ROAD
Mailing Address - Street 2:902, AL BURHAN APARTMENTS
Mailing Address - City:MUMBAI
Mailing Address - State:MAHARASHTRA
Mailing Address - Zip Code:400059
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 LANSDOWNE AVENUE
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023
Practice Address - Country:US
Practice Address - Phone:610-237-4553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program