Chandran, Ravi Theethakarai

Chandran, Ravi Theethakarai is an sole proprietor health care provider with primary practice located at 125 Professional Park Dr , Seneca SC 29678-2558. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Chandran, Ravi Theethakarai can be contacted via phone (864) 482-3000.

Contact Information

Primary practice address
125 Professional Park Dr Seneca SC 29678-2558
Phone: (864) 482-3000
Fax: (864) 482-4000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 23128 South Carolina
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X 23128 South Carolina

Profile Details

NPI number 1730133547
LBN Legal business name Chandran, Ravi Theethakarai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Feb 20th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730133547 NPPES
South Carolina MEDICAID 231289

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