Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAVAN MAHENDRA RAVELLA, MD
ActivePAVAN MAHENDRA RAVELLA, MD is a Hematology & Oncology healthcare provider located in MOORESVILLE, North Carolina. NPI 1710212147 is currently active in the NPPES registry. Verify at CMS.
Hematology & Oncology · MOORESVILLE, NC
Registration Details
- NPI Number
- 1710212147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2009 (16.904861611347 yrs)
- Last Updated
- Dec 30, 2025
- Licenses
-
2025-03697 (NC)01075948A (IN)01075948A (IN)
Practice Information
- Address
-
170 MEDICAL PARK RD STE 101MOORESVILLE, NC, 281178541Browse NC providers · Browse ZIP 28117
- Phone
- 9803027070
- Primary Specialty
-
Hematology & Oncology
207RH0000X
- Additional Specialty
- Hematology & Oncology
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Medical Oncology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.