Look up the most recent NPI and PECOS records

Tharani Ravi

Family Medicine

Allopathic & Osteopathic Physicians

903 W Martin St, San Antonio, TX 78207-0903

PECOS Enrollment

Based on the most recent information from CMS, provider Tharani Ravi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1831482272
Provider Type
Individual
Full Name
Ravi, Tharani
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/18/2011
Last Updated
7/27/2017

Contact Information

Practice Location

903 W Martin St, San Antonio, TX 78207-0903

(210) 358-3985

Unlisted Fax

Mailing Location

7703 Floyd Curl Dr, San Antonio, TX 78229

(210) 358-3985

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License P8624 Texas

Provider Identifiers

ID	Description	Issuer
ID 338243402	Description Other	Issuer CSHCN Texas
ID 338243401	Description Medicaid	Issuer Unlisted Texas

Tharani Ravi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Doty, Sue

Fernandez Falcon, Cristian Pablo

Ellanti, Naga Pranavi

Davis, Brandon Jonathan

Ali, Fozia Akhtar

Buena Vista Family Practice, P.A.

Coston, Matthew Jason

Katipally, Bhoja R.

Aguilar, Leticia T

Ferrer, Robert