Individual provider · Type 1 NPI
Avinash Ravilla, D.O
General Practice Physician · New York, NY
NPI number
1376926063
Active
Practice location
150 W 22nd St Fl 8
New York, NY 10011-6557
Mailing address
PO Box 23607
New York, NY 10087-3607
Other practice locations
- 2119 E Norris St, Philadelphia, PA 19125-1924 · (973) 400-9564
- 703 Main St, Paterson, NJ 07503-2621 · (973) 754-2240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MB10481300 (NJ) |
| General Practice Physician Primary | 208D00000X | 304276 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
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About NPI 1376926063
Avinash Ravilla, D.O's National Provider Identifier is 1376926063, issued on Jun 30, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in New York, NY. The record was last updated on Jan 30, 2025.