Provider Demographics
NPI:1639226335
Name:RAVEE, MANI (MD)
Entity Type:Individual
Prefix:
First Name:MANI
Middle Name:
Last Name:RAVEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6714 HERITAGE BUSINESS CT
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2596
Mailing Address - Country:US
Mailing Address - Phone:423-498-5864
Mailing Address - Fax:
Practice Address - Street 1:6714 HERITAGE BUSINESS CT
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2596
Practice Address - Country:US
Practice Address - Phone:423-498-5864
Practice Address - Fax:423-498-5865
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41412207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H74236Medicare UPIN
TN103I115412Medicare PIN