DR. Kathy Ravanbakhsh, D.O.

NPI #1790739167 in Bryan, Texas

Provider Information

NPI Number: 1790739167
Entity Type: Individual
Name: DR. Kathy Ravanbakhsh, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: D.O.
Enumeration Date: May 20, 2006
Last Updated: Dec 3, 2012

Practice Location

Address: 2700 E 29TH ST STE 100
City: Bryan
State: Texas
ZIP Code: 77802-2507
Phone: (979) 774-3041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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