Suganthi Ravindran Physician P.C

LBN: Suganthi Ravindran Physician P.C
Suganthi Ravindran Physician P.C is an health care organization with primary practice located at 709 Hawkins Ave Ste 1 , Lake Ronkonkoma NY 11779-2293. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Suganthi Ravindran Physician P.C can be contacted via phone (631) 588-0880, or through Ravindran, Suganthi via phone (631) 588-0880.

Contact Information

Primary practice address
709 Hawkins Ave Ste 1 Lake Ronkonkoma NY 11779-2293
Phone: (631) 588-0880
Fax: (631) 588-0391
Website:
Map and Directions
Authorized official contact:
Name: Ravindran, Suganthi Doctor of Medicine (MD)
Phone: (631) 588-0880

Health care specialties

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

Profile Details

NPI number 1912565490
LBN Legal business name Suganthi Ravindran Physician P.C
DBA Doing business as
Authorized official Ravindran, Suganthi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2019
Last updated May 30th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912565490 NPPES
New York Other 199922 HIP MEDICAID

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