Provider Demographics
NPI:1508625088
Name:RAVAL, DARSHANKUMAR MANUBHAI (MBBS MD)
Entity Type:Individual
Prefix:DR
First Name:DARSHANKUMAR
Middle Name:MANUBHAI
Last Name:RAVAL
Suffix:
Gender:M
Credentials:MBBS MD
Other - Prefix:DR
Other - First Name:DARSHAN
Other - Middle Name:
Other - Last Name:RAVAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS MD
Mailing Address - Street 1:3551 SAN PABLO RD S APT 1903
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-3905
Mailing Address - Country:US
Mailing Address - Phone:352-734-6622
Mailing Address - Fax:
Practice Address - Street 1:1350 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-6608
Practice Address - Country:US
Practice Address - Phone:330-675-5706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program