Raghavan, Ravi K

Raghavan, Ravi K is an individual health care provider with primary practice located at 11370 Anderson St Ste 2960, Loma Linda CA 92354-3450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Raghavan, Ravi K can be contacted via phone (909) 558-6422.

Contact Information

Primary practice address
11370 Anderson St Ste 2960 Loma Linda CA 92354-3450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X A82573 California
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X A82573 California

Profile Details

NPI number 1144240698
LBN Legal business name Raghavan, Ravi K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Sep 27th, 2007 - about 17 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 1144240698 NPPES
California MEDICAID 00A825730

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