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1205949211
RAVI KOOPOT
PHOENIX, AZ
NPI
1205949211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: AZ 15188)
Enumeration Date
2006-08-16
Last Update Date
2012-04-24
Business Address
-- RAVI KOOPOT M.D.
500 W THOMAS RD SUITE 500
PHOENIX, AZ 85013-4224
Phone number: 602-406-6458
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Mailing Address
-- RAVI KOOPOT M.D.
FILE 56765
LOS ANGELES, CA 90074-6765
Phone number: 602-406-3860
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