Vidhun, Jayakumar Ravichandran

Vidhun, Jayakumar Ravichandran is an individual health care provider with primary practice located at 12462 Putnam St. Suite 506, Whittier CA 90602-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Vidhun, Jayakumar Ravichandran can be contacted via phone (562) 698-8141.

Contact Information

Primary practice address
12462 Putnam St. Suite 506 Whittier CA 90602-1002
Phone: (562) 698-8141
Fax: (562) 698-9885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A92267 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A92267 California

Profile Details

NPI number 1275685638
LBN Legal business name Vidhun, Jayakumar Ravichandran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Nov 15th, 2013 - about 11 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 1275685638 NPPES
California MEDICAID 00A922670

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