DR. Mamata Ravipati, M.D.
NPI #1962490169 in North Chicago, Illinois
Provider Information
- NPI Number
- 1962490169
- Entity Type
- Individual
- Name
- DR. Mamata Ravipati, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Oct 11, 2005
- Last Updated
- Sep 26, 2016
Practice Location
- Address
- 3471 GREEN BAY RD
- City
- North Chicago
- State
- Illinois
- ZIP Code
- 60064-3090
- Phone
- (847) 473-4357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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