| Srikanth Ravindran Md Inc | |
|
10380 Sutton Pl Munster IN 46321-2882 | |
| (630) 863-8575 | |
| Not Available |
| Full Name | Srikanth Ravindran Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10380 Sutton Pl, Munster, Indiana |
| Authorized Official Name and Position | Srikanth Ravindran (PRESIDENT) |
| Authorized Official Contact | 6308638575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Srikanth Ravindran Md Inc 10380 Sutton Pl Munster IN 46321-2882 Ph: (630) 863-8575 | Srikanth Ravindran Md Inc 10380 Sutton Pl Munster IN 46321-2882 Ph: (630) 863-8575 |
| NPI Number | 1841668951 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 07/27/2016 |
| Medicare PECOS PAC ID | 5597073569 |
|---|---|
| Medicare Enrollment ID | O20150924003343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841668951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Srikanth Dev Ravindran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417209933 PECOS PAC ID: 9638485188 Enrollment ID: I20150831000579 |
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