Provider Demographics
NPI:1568844512
Name:JAYAVARAPU, RAVI SANKARA REDDY (MBBS MPH)
Entity Type:Individual
Prefix:DR
First Name:RAVI
Middle Name:SANKARA REDDY
Last Name:JAYAVARAPU
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Gender:M
Credentials:MBBS MPH
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Mailing Address - Street 1:1218 S BROADWAY STE 310
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2759
Mailing Address - Country:US
Mailing Address - Phone:859-219-0542
Mailing Address - Fax:859-219-9433
Practice Address - Street 1:1218 S BROADWAY STE 310
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2759
Practice Address - Country:US
Practice Address - Phone:859-219-0542
Practice Address - Fax:859-219-9433
Is Sole Proprietor?:No
Enumeration Date:2015-06-26
Last Update Date:2021-07-21
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Provider Licenses
StateLicense IDTaxonomies
KYR38082085R0202X
KY540822085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology