Provider Demographics
NPI:1518946045
Name:RAVI, VINUTHA (MD)
Entity Type:Individual
Prefix:DR
First Name:VINUTHA
Middle Name:
Last Name:RAVI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3400 CALLOWAY DR
Mailing Address - Street 2:STE 100
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2513
Mailing Address - Country:US
Mailing Address - Phone:661-776-3876
Mailing Address - Fax:661-766-3876
Practice Address - Street 1:3400 CALLOWAY DR
Practice Address - Street 2:STE 100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2513
Practice Address - Country:US
Practice Address - Phone:661-776-3876
Practice Address - Fax:661-766-3876
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA746442084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA74644OtherCA MEDICAL LICENSE
CA00A4746440Medicaid
1518946045OtherNPI
1518946045OtherNPI