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Contact Information

RAVI K MOOTHA, MD
2821 E PRESIDENT GEORGE BUSH HWY
SUITE 305
RICHARDSON, TX75082-4266
 Phone: 972-235-3248
 Fax: 972-235-3984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for RAVI K MOOTHA · (Male)

NPI Number 1194820043
Status Active
Credentials MD
Entity Individual
Enumeration date 09/14/2006
Last updated 09/20/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L7054
Hospital affiliation(s)
  • MEDICAL CENTER OF PLANO - (Acute Care)
    3901 W 15TH ST
    PLANO, TX 75075
  • METHODIST RICHARDSON MEDICAL CENTER - (Acute Care)
    2831 E PRESIDENT GEORGE BUSH HIGHWAY
    RICHARDSON, TX 75082
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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