Ravichandran, Nagamanikkam

Ravichandran, Nagamanikkam is an sole proprietor health care provider with primary practice located at 3 Shircliff Way Suite 525, Jacksonville FL 32204-4757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ravichandran, Nagamanikkam can be contacted via phone (904) 389-3770.

Contact Information

Primary practice address
3 Shircliff Way Suite 525 Jacksonville FL 32204-4757
Phone: (904) 389-3770
Fax: (904) 389-3703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME74104 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME74104 Florida

Profile Details

NPI number 1871585521
LBN Legal business name Ravichandran, Nagamanikkam
Credentials MD, MBA, FACP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated May 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871585521 NPPES
Florida MEDICAID 252904100

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