Dr RAVI PRASAD AVATI NANJUNDAPPA is a male medical professional, specializing in Internal Medicine. He graduated in 2000.
ST VINCENT'S AMBULATORY CARE INC
1699 S 14TH ST
SUITE 9
FERNADINA BEACH
FL
320341964
Tel: 9042065000
| Npi | 1679780373 |
| Pac Id | 2264594373 |
| Professional Enrollment Id | I20180921002812 |
| Last Name | AVATI NANJUNDAPPA |
| First Name | RAVI PRASAD |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Group Practice Pac Id | 2860411188 |
| Number Of Group Practice Members | 295 |
| Line 1 Street Address | 1699 S 14TH ST |
| Line 2 Street Address | SUITE 9 |
| Marker Of Address Line 2 Suppression | |
| City | FERNADINA BEACH |
| State | FL |
| Zip Code | 320341964 |
| Phone Number | 9042065000 |
| Hospital Affiliation Ccn 1 | 100321 |
| Hospital Affiliation Lbn 1 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| Hospital Affiliation Ccn 2 | 100040 |
| Hospital Affiliation Lbn 2 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Hospital Affiliation Ccn 3 | 100088 |
| Hospital Affiliation Lbn 3 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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