NPI 1104558154 · live from the CMS NPI Registry
Soumiya Ravi
Internal Medicine, Cardiovascular Disease in Newark, DE. National Provider Identifier 1104558154, active.
NPI record
| NPI | 1104558154 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | Christiana Care Health Services, 4755 Ogletown-Stanton Road, E Tower, Room-2875, Newark, DE 19718 |
| Practice phone | 302-733-1882 |
| Enumerated | June 28, 2022 |
| Last updated | June 26, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | C7-0018930 (DE) |
| Internal Medicine | 207R00000X | R79327 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.