Pande, Ravi
Pande, Ravi is an individual health care provider with primary practice located at 1665 Kingsley Ave Ste 107 , Orange Park FL 32073-4415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Pande, Ravi can be contacted via phone (904) 272-9981.Contact Information
Primary practice address
1665 Kingsley Ave Ste 107
Orange Park FL 32073-4415
Phone: (904) 272-9981
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME109673 | Florida |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | ME109673 | Florida |
Profile Details
| NPI number | 1740440023 |
|---|---|
| LBN Legal business name | Pande, Ravi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2008 |
| Last updated | Dec 2nd, 2022 - about 4 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 | 1740440023 | NPPES |
| Florida | MEDICAID | 0037714-00 |
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