Ravindra, Ankem

Ravindra, Ankem is an sole proprietor health care provider with primary practice located at 1740 W Us Hwy 90 Ste 101, Lake City FL 32055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ravindra, Ankem can be contacted via phone (386) 752-3400.

Contact Information

Primary practice address
1740 W Us Hwy 90 Ste 101 Lake City FL 32055
Phone: (386) 752-3400
Fax: (386) 752-3110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME38632 Florida

Profile Details

NPI number 1427094242
LBN Legal business name Ravindra, Ankem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Dec 18th, 2009 - about 16 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 1427094242 NPPES
Florida MEDICAID 065750600
Florida Other 110131270

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