Provider Demographics
NPI:1548795412
Name:RAVI H HALASWAMY, M.D.
Entity Type:Organization
Organization Name:RAVI H HALASWAMY, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSIICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:H
Authorized Official - Last Name:HALASWAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-673-8326
Mailing Address - Street 1:2075 SAVANNAH TRCE
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-2553
Mailing Address - Country:US
Mailing Address - Phone:409-673-8326
Mailing Address - Fax:
Practice Address - Street 1:810 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 370
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701
Practice Address - Country:US
Practice Address - Phone:409-673-8326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2592207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty