DR. RAVINDRA NATH POLAVARAPU MD NPI 1578632089

NPI Information

NPI: 1578632089
Provider Name: DR. RAVINDRA NATH POLAVARAPU, MD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
700 STEWART RD
SUITE 105
MONROE, MI
ZIP 48162
Phone: (734) 240-1760
Get Directions

DR. Ravindra Nath Polavarapu, MD is an addiction medicine psychiatry neurology in Monroe, MI. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Ravindra Nath Polavarapu, MD NPI is 1578632089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 STEWART RD
SUITE 105
MONROE, MI
ZIP 48162-304
Phone: (734) 240-1760
Fax: (734) 240-1780

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	4301058454	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2605800952	OTHER	MICHIGAN	BCBS
2	F75169	MEDICARE UPIN	MICHIGAN
3	E86018003	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
4	3476819	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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