Provider Demographics
NPI:1629152541
Name:RAVI, HIMABINDU
Entity Type:Individual
Prefix:
First Name:HIMABINDU
Middle Name:
Last Name:RAVI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 PINNER WEALD WAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2618
Mailing Address - Country:US
Mailing Address - Phone:919-346-3363
Mailing Address - Fax:
Practice Address - Street 1:301 PINNER WEALD WAY # PA
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2618
Practice Address - Country:US
Practice Address - Phone:919-346-3363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2003-002812084B0040X, 2084P0800X
CAC1602132084P0800X
NC200300812084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2021122AMedicare ID - Type Unspecified
NC891370WMedicare ID - Type Unspecified
H92822Medicare ID - Type Unspecified