Dr Subhaschandra Reddy Ravi, MD in Hartford, MI - General Practice

Dr Subhaschandra Reddy Ravi, MD is a General Practice physician based in Hartford, Michigan. Dr Subhaschandra Reddy Ravi is licensed to practice in Michigan (license number 4301037460) and his current practice location is 30 W Main St, Hartford, Michigan. He can be reached at his office (for appointments etc.) via phone at (269) 621-2166.

NPI number for Dr Subhaschandra Reddy Ravi is 1043379803 and his current mailing address is 30 W Main St, Hartford, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043379803.

Contact Information

	Dr Subhaschandra Reddy Ravi, MD
	30 W Main St, Hartford, MI 49057-1005
	(269) 621-2166
	(269) 621-2566

Physician's Profile

Full Name	Dr Subhaschandra Reddy Ravi
Gender	Male
Speciality	General Practice
Location	30 W Main St, Hartford, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1043379803
Provider Enumeration Date: 12/07/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Subhaschandra Reddy Ravi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043379803	NPI	-	NPPES
3508062072	Other	MI	BCBS OF MICHIGAN
11286631	Other	MI	CAQH
1790118	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	4301037460 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Subhaschandra Reddy Ravi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Subhaschandra Reddy Ravi, MD 30 W Main St, Hartford, MI 49057-1005 Ph: (269) 621-2166	Dr Subhaschandra Reddy Ravi, MD 30 W Main St, Hartford, MI 49057-1005 Ph: (269) 621-2166

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Dr Subhaschandra Reddy Ravi, MD - General Practice in Hartford, MI