Provider Demographics
NPI:1467570895
Name:SIRIPURAPU, RAVI S (MD)
Entity Type:Individual
Prefix:DR
First Name:RAVI
Middle Name:S
Last Name:SIRIPURAPU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAVI
Other - Middle Name:SUBRAHMANYA
Other - Last Name:SIRIPURAPU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 271600
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75027-1600
Mailing Address - Country:US
Mailing Address - Phone:972-544-6600
Mailing Address - Fax:972-544-6604
Practice Address - Street 1:1023 LIPSCOMB ST STE 200
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3102
Practice Address - Country:US
Practice Address - Phone:972-544-6600
Practice Address - Fax:972-544-6604
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9662207R00000X
TXM 9662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine