Ravaee, Manoucher
Ravaee, Manoucher is an individual health care provider with primary practice located at 733 N Logan Suite 3, Danville IL 61832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ravaee, Manoucher can be contacted via phone (217) 442-3268.Contact Information
Primary practice address
733 N Logan Suite 3
Danville IL 61832
Phone: (217) 442-3268
Fax: (217) 442-3268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Illinois |
Profile Details
| NPI number | 1972610491 |
|---|---|
| LBN Legal business name | Ravaee, Manoucher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972610491 | NPPES |
| Illinois | Other | 9200165 | BLBS |
| Illinois | Other | 117269 | BLBS |
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