RAVI GORAV MD PA NPI 1619183597

NPI Information

RAVI GORAV MD PA is a facial plastic surgery otolaryngology in Las Cruces, NM. The provider is an otolaryngologist who specializes in facial plastic surgery. RAVI GORAV MD PA NPI is 1619183597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2540 S TELSHOR BLVD
LAS CRUCES, NM
ZIP 88011-907
Phone: (575) 522-7982
Fax: (575) 522-7987

The provider's authorized official is Ravi Gorav .
The authorized official title is President and has the following contact phone number (575) 522-7982.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 11/18/2009.

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:

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