Kashyap, Ravindra

Kashyap, Ravindra is an individual health care provider with primary practice located at 1505 Eastland Dr Suite 320, Bloomington IL 61701-3534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kashyap, Ravindra can be contacted via phone (309) 661-2368.

Contact Information

Primary practice address
1505 Eastland Dr Suite 320 Bloomington IL 61701-3534
Fax: (309) 662-9709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036095871 Illinois

Profile Details

NPI number 1437145273
LBN Legal business name Kashyap, Ravindra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jun 24th, 2010 - about 15 years 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 1437145273 NPPES
Illinois MEDICAID 036095871
Illinois Other DP5951
Illinois Other IL2613
Illinois Other 833120
Illinois Other P00662864/CA2264
Illinois Other P00823121

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