| Rajani Ravindra Md | |
|
1740 W Us Highway 90 Suite 102 Lake City FL 32055-4718 | |
| (386) 755-3000 | |
| Not Available |
| Full Name | Rajani Ravindra Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1740 W Us Highway 90, Lake City, Florida |
| Authorized Official Name and Position | Rajani K Ravindra (MD/OWNER) |
| Authorized Official Contact | 3867553000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajani Ravindra Md 1740 W Us Highway 90 Suite 102 Lake City FL 32055-4718 Ph: (386) 755-3000 | Rajani Ravindra Md 1740 W Us Highway 90 Suite 102 Lake City FL 32055-4718 Ph: (386) 755-3000 |
| NPI Number | 1407391931 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 12/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407391931 | NPI | - | NPPES |
| 067671300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME40806 (Florida) | Primary |
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