Mahajan, Ravish J

Mahajan, Ravish J is an individual health care provider with primary practice located at 5 Executive Dr Suite B1, Lafayette IN 47905-4867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mahajan, Ravish J can be contacted via phone (765) 807-0531.

Contact Information

Primary practice address
5 Executive Dr Suite B1 Lafayette IN 47905-4867
Phone: (765) 807-0531
Fax: (765) 807-0534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01061610A Indiana

Profile Details

NPI number 1497869929
LBN Legal business name Mahajan, Ravish J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 4th, 2024 - about last year

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 1497869929 NPPES
Indiana Other 000000390071 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200807890 ANTHEM PROVIDER NUMBER

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