Ravishankar, Indira
Ravishankar, Indira is an individual health care provider with primary practice located at 169 Minnisink Rd , Totowa NJ 07512-1803. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Ravishankar, Indira can be contacted via phone (973) 256-1700.Contact Information
Primary practice address
169 Minnisink Rd
Totowa NJ 07512-1803
Phone: (973) 256-1700
Fax: (973) 890-4574
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MA3665600 | New Jersey |
Profile Details
NPI number | 1962441873 |
---|---|
LBN Legal business name | Ravishankar, Indira |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Jan 14th, 2008 - 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 | 1962441873 | NPPES |
New Jersey | Other | 834563B1J | MEDICARE BILLING |
New Jersey | MEDICAID | 4499701 | MEDICARE BILLING |
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