National Provider Identifier
Ravi Vishram Purushuttam, M.D.
Ravi Vishram Purushuttam, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Cuba, NY and a listed phone number of (716) 375-7500.
Profile Overview
- NPI
- 1043717838
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 09, 2018
- Last Updated
- June 22, 2023
Practice Location
- 132 W Main St
- Cuba, NY 14727-1317
Phone: (716) 375-7500
Mailing Address
- 135 N.Union St.
- Olean, NY 14760
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1043717838
- Entity Type
- Individual
- Last Name
- Purushuttam
- First Name
- Ravi
- Middle Name
- Vishram
- Name Prefix
- Mr.
- Credential
- M.D.
- Mailing Street Address
- 135 N.Union St.
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760
- Mailing Country
- US
- Mailing Phone
- (716) 375-7500
- Mailing Fax
- (716) 701-6854
- Practice Street Address
- 132 W Main St
- Practice City
- Cuba
- Practice State
- NY
- Practice ZIP Code
- 14727-1317
- Practice Country
- US
- Practice Phone
- (716) 375-7500
- Enumeration Date
- April 09, 2018
- Last Updated
- June 22, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 22, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)