Ravichandran, Thulasiraman P
Ravichandran, Thulasiraman P is an sole proprietor health care provider with primary practice located at 2025 W Oklahoma Ave Suite 120, Milwaukee WI 53215-4455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ravichandran, Thulasiraman P can be contacted via phone (414) 382-8960.Contact Information
Primary practice address
2025 W Oklahoma Ave Suite 120
Milwaukee WI 53215-4455
Phone: (414) 382-8960
Fax: (414) 382-8975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2084D0003X | 38984-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 38984-020 | Wisconsin |
Profile Details
| NPI number | 1861447906 |
|---|---|
| LBN Legal business name | Ravichandran, Thulasiraman P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | Mar 11th, 2020 - about 5 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 | 1861447906 | NPPES |
| Wisconsin | Other | 130020975 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 32352600 | RAILROAD MEDICARE |
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