Latha M Ravichandran, | |
1602 Rock Prairie Rd Ste 2400, College Station, TX 77845-0001 | |
(979) 693-2586 | |
(979) 693-7327 |
Full Name | Latha M Ravichandran |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 29 Years |
Location | 1602 Rock Prairie Rd Ste 2400, College Station, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902966443 | NPI | - | NPPES |
154467803 | Medicaid | TX | |
1649265646 | Other | TX | NPI CLINIC |
187842301 | Medicaid | TX | |
1821185299 | Other | TX | NPI AGENCY |
185649401 | Medicaid | TX | |
309188603 | Medicaid | TX | |
741715140 | Other | TX | TAX ID |
000951607 | Medicaid | TX | |
000951608 | Medicaid | TX | |
154467801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M5460 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Home Health Group Of College Station Llc | College station, TX | Home health agency |
Encompass Home Health Of Bryan/college Station | College station, TX | Home health agency |
St Joseph Regional Health Center | Bryan, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Joseph Regional Health Center | 5294727921 | 150 |
Entity Name | St Joseph Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669557179 PECOS PAC ID: 5294727921 Enrollment ID: O20040401000670 |
Entity Name | Regional Employee Assistance Program Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731 |
Entity Name | Apogee Medical Group Texas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558318071 PECOS PAC ID: 9436151792 Enrollment ID: O20070215000533 |
Mailing Address | Practice Location Address |
---|---|
Latha M Ravichandran, 1602 Rock Prairie Rd Ste 2400, College Station, TX 77845-0001 Ph: (979) 693-2586 | Latha M Ravichandran, 1602 Rock Prairie Rd Ste 2400, College Station, TX 77845-0001 Ph: (979) 693-2586 |
Clayton Thomas Kruger, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1602 Rock Prairie Rd Ste 300, College Station, TX 77845 Phone: 979-693-7400 | |
Dr. Bo Xuan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: A P Beutel Health Center, Texas A&m University, College Station, TX 77843 Phone: 979-458-8269 Fax: 979-458-8352 | |
Laura Muehr, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E Ste 100, College Station, TX 77840 Phone: 979-691-3300 Fax: 979-691-3527 | |
Dr. Gary Lambert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd, Ste. 1100, College Station, TX 77845 Phone: 979-693-2586 Fax: 979-693-7327 | |
Dr. Adel A Massoud, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4421 Highway 6 S, College Station, TX 77845 Phone: 979-690-4260 Fax: 979-690-4476 | |
Dr. Mark Stanley Higgins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 409-691-3300 | |
Dr. Donald Raymond Gehring, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 979-691-3300 |