Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathy Ravanbakhsh, DO

Individual provider Urology Physician · NPI 1790739167

Dr. Kathy Ravanbakhsh, DO is an Urology in Bryan, Texas. Qualified in 1998, 28 years ago. Practices with St Joseph Regional Health Center, a 140-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
28
Licensed in
IL, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2700 E 29th St Ste 100
Bryan, TX 77802-2507
Phone: (979) 774-3041
Fax: (979) 774-3053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence M8941 (TX)
Urology Physician Taxonomy 208800000X · Licence 036-110986 (IL)

Record details

NPI number1790739167
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 20, 2006
Last updated in NPPESDecember 3, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice St Joseph Regional Health Center — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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