Ravaee, Manoucher

Ravaee, Manoucher is an individual health care provider with primary practice located at 733 N Logan Suite 3, Danville IL 61832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ravaee, Manoucher can be contacted via phone (217) 442-3268.

Contact Information

Primary practice address
733 N Logan Suite 3 Danville IL 61832
Phone: (217) 442-3268
Fax: (217) 442-3268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1972610491
LBN Legal business name Ravaee, Manoucher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1972610491 NPPES
Illinois Other 9200165 BLBS
Illinois Other 117269 BLBS

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