Ravindra, Rajani K

Ravindra, Rajani K is an sole proprietor health care provider with primary practice located at 1740 W Us Hwy 90 Ste 102, Lake City FL 32055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Ravindra, Rajani K can be contacted via phone (386) 755-3000.

Contact Information

Primary practice address
1740 W Us Hwy 90 Ste 102 Lake City FL 32055
Fax: (386) 719-4297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME40806 Florida

Profile Details

NPI number 1952347767
LBN Legal business name Ravindra, Rajani K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Dec 4th, 2009 - about 15 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 1952347767 NPPES
Other 010023058 RAILROAD MEDICARE
Other 237718 RAILROAD MEDICARE
Other 088689 RAILROAD MEDICARE
Other 12064 RAILROAD MEDICARE

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