ANIL RAVI DATE

CANYON COUNTRY, CA
NPI1972860864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA  A125970)
Enumeration Date2012-04-16
Last Update Date2023-04-12
Business Address
ANIL RAVI DATE M.D.
27141 HIDAWAY AVE STE 106
CANYON COUNTRY, CA 91351-4135
Phone number: 818-220-5209
Mailing Address
ANIL RAVI DATE M.D.
27141 HIDAWAY AVE STE 106
CANYON COUNTRY, CA 91351-4135
Phone number: 612-528-4696