| Ravi Krishnan Md Llc | |
|
6559 Wilson Mills Rd Ste 106 Mayfield Village OH 44143-3433 | |
| (855) 449-1540 | |
| (440) 672-5068 |
| Full Name | Ravi Krishnan Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6559 Wilson Mills Rd Ste 106, Mayfield Village, Ohio |
| Authorized Official Name and Position | Ravi V Krishnan (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8554491540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravi Krishnan Md Llc Po Box 952060 Cleveland OH 44193-0051 Ph: (855) 449-1540 | Ravi Krishnan Md Llc 6559 Wilson Mills Rd Ste 106 Mayfield Village OH 44143-3433 Ph: (855) 449-1540 |
| NPI Number | 1043915770 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 1456718469 |
|---|---|
| Medicare Enrollment ID | O20230607001011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043915770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ravi Venkata Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306836150 PECOS PAC ID: 1254471808 Enrollment ID: I20091214000089 |
| Provider Name | Carolyn T Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003153644 PECOS PAC ID: 8820234230 Enrollment ID: I20130409000222 |
| Provider Name | Marissa Michael Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497146195 PECOS PAC ID: 7911224472 Enrollment ID: I20150320000746 |
Progressive Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 Wilson Mills Rd, W31, Mayfield Village, OH 44143 Phone: 440-395-2132 Fax: 440-446-7878 | |
Community Internists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6555 Wilson Mills Rd, Suite 103, Mayfield Village, OH 44143 Phone: 440-442-8313 Fax: 440-442-8316 | |
Atrium Medical Group Mukunda Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6559 Wilson Mills Rd Ste 106, Mayfield Village, OH 44143 Phone: 855-449-1540 Fax: 440-672-5068 | |
Uhmp - James Silverbaltt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Som Center Rd Ste 310, Mayfield Village, OH 44143 Phone: 440-684-1769 Fax: 440-684-1780 | |
Village Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6681 Wilson Mills Rd, Mayfield Village, OH 44040 Phone: 440-646-9955 Fax: 440-646-9929 |