Provider Demographics
NPI:1457234296
Name:ERRAVELLI, PAVAN KRISHNA (MD,)
Entity type:Individual
Prefix:MR
First Name:PAVAN KRISHNA
Middle Name:
Last Name:ERRAVELLI
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:MR
Other - First Name:PAVAN KRISHNA
Other - Middle Name:
Other - Last Name:E
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,
Mailing Address - Street 1:BRAIN HEALTH USA, 14541 DELANO ST,
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411
Mailing Address - Country:US
Mailing Address - Phone:818-748-6777
Mailing Address - Fax:
Practice Address - Street 1:BRAIN HEALTH USA, 14541 DELANO ST,
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411
Practice Address - Country:US
Practice Address - Phone:818-748-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program