Provider Demographics
NPI:1629376025
Name:RAVI, KALA (DVM)
Entity Type:Individual
Prefix:DR
First Name:KALA
Middle Name:
Last Name:RAVI
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31521 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48082-2455
Mailing Address - Country:US
Mailing Address - Phone:586-293-3922
Mailing Address - Fax:586-293-6044
Practice Address - Street 1:31521 HARPER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48082-2455
Practice Address - Country:US
Practice Address - Phone:586-293-3922
Practice Address - Fax:586-293-6044
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6901008714174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian