Ravi K. Mootha, M.d., P.a.

NPI #1063653376 in Richardson, Texas

Provider Information

NPI Number: 1063653376
Entity Type: Organization
Organization Name: Ravi K. Mootha, M.d., P.a.
Primary Specialty: Urology
Enumeration Date: Mar 16, 2009
Last Updated: Sep 20, 2009

Practice Location

Address: 2821 E PRESIDENT GEORGE BUSH HWY
Address 2: SUITE 305
City: Richardson
State: Texas
ZIP Code: 75082-4266
Phone: (972) 235-3248

Authorized Official

Name: DR. RAVI KANTH MOOTHA, M.D.
Title: PRESIDENT
Phone: (214) 514-8480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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