RAVI GURUSAMY

CHATTANOOGA, TN
NPI1710118393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TN  51353)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MT194224)
Enumeration Date2009-07-30
Last Update Date2014-10-15
Business Address
-- RAVI GURUSAMY M.D.
975 E 3RD ST
CHATTANOOGA, TN 37403-2147
Phone number: 423-266-1490
Mailing Address
-- RAVI GURUSAMY M.D.
975 E 3RD ST ATTN: PROVIDER ENROLLMENT
CHATTANOOGA, TN 37403-2147
Phone number: 423-266-1490