Menon, Ravi Sivasankara
Menon, Ravi Sivasankara is an individual health care provider with primary practice located at 747 Broadway , Seattle WA 98122-4379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Menon, Ravi Sivasankara can be contacted via phone (206) 215-3958.Contact Information
Primary practice address
747 Broadway
Seattle WA 98122-4379
Phone: (206) 215-3958
Fax: (206) 320-2451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D0065029 | Maryland |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD036298 | District of Columbia |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD60333790 | Washington |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD60333790 | Washington |
Profile Details
| NPI number | 1326160177 |
|---|---|
| LBN Legal business name | Menon, Ravi Sivasankara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 1st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326160177 | NPPES |
| Washington | Other | G8918460 | MEDICARE PIN SNOHOMISH |
| Washington | MEDICAID | 1326160177 | MEDICARE PIN SNOHOMISH |
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