Ravichandran, Lalitha

Ravichandran, Lalitha is an individual health care provider with primary practice located at 1 Medical Park Dr , Pomona NY 10970. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Ravichandran, Lalitha can be contacted via phone (845) 362-5600.

Contact Information

Primary practice address
1 Medical Park Dr Pomona NY 10970
Phone: (845) 362-5600
Fax: (845) 362-5616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 182905 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 182905 New York

Profile Details

NPI number 1346214186
LBN Legal business name Ravichandran, Lalitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated May 6th, 2014 - about 12 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 1346214186 NPPES
New York MEDICAID 01565466

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