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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730133547 | NPPES |
| South Carolina | MEDICAID | 231289 |
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