Chandran, Ravi Theethakarai
Chandran, Ravi Theethakarai is an sole proprietor health care provider with primary practice located at 1951 N Wilmot Rd Bldg 4 , Tucson AZ 85712-8001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Chandran, Ravi Theethakarai can be contacted via phone (520) 318-1114.Contact Information
Primary practice address
1951 N Wilmot Rd Bldg 4
Tucson AZ 85712-8001
Phone: (520) 318-1114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 23128 | South Carolina |
| Ambulatory Health Care Facilities / Sleep Disorder Diagnostic | 261QS1200X | 23128 | South Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 72622 | Arizona |
Profile Details
| NPI number | 1730133547 |
|---|---|
| LBN Legal business name | Chandran, Ravi Theethakarai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Mar 19th, 2025 - about last year |
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 | 1730133547 | NPPES |
| South Carolina | MEDICAID | 231289 | |
| South Carolina | MEDICAID | 187323 |
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