NPI 1104027390

Ravi Venkata Gangavalli, MD

Practitioner Anesthesiology Physician Somerset, NJ

Practice location

Address: 285 Davidson Ave Suite 204, Somerset, NJ 08873-4153
Phone: (732) 271-1400
Fax: (732) 271-3544

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence MA08271700 (NJ)

Other Anesthesiology providers in New Jersey →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence MA08271700 (NJ)

Registry record

NPI: 1104027390
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2007
Record last updated: 1 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.