Provider Demographics
NPI:1982888053
Name:AMBIKA MEDICAL GROUP P.A
Entity Type:Organization
Organization Name:AMBIKA MEDICAL GROUP P.A
Other - Org Name:S.K.RAVI, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIVARAJPUR
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-428-7330
Mailing Address - Street 1:2802 GARTH ROAD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3925
Mailing Address - Country:US
Mailing Address - Phone:281-428-7330
Mailing Address - Fax:281-428-7251
Practice Address - Street 1:2802 GARTH RD
Practice Address - Street 2:SUITE 207
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3900
Practice Address - Country:US
Practice Address - Phone:281-428-7330
Practice Address - Fax:281-428-7251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3882208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0082AHMedicare PIN