Provider Demographics
NPI:1356598940
Name:RATHORE, RANVIR SINGH
Entity type:Individual
Prefix:DR
First Name:RANVIR
Middle Name:SINGH
Last Name:RATHORE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 NAVARRE AVENUE
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616
Mailing Address - Country:US
Mailing Address - Phone:419-691-8132
Mailing Address - Fax:419-691-2061
Practice Address - Street 1:3841 NAVARRE AVENUE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616
Practice Address - Country:US
Practice Address - Phone:419-691-8132
Practice Address - Fax:419-691-2061
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35096936207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine