| T.ravishankar Md Pc | |
|
997 Glen Cove Ave Glen Head NY 11545-1593 | |
| (516) 674-9144 | |
| (516) 674-4024 |
| Full Name | T.ravishankar Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 997 Glen Cove Ave, Glen Head, New York |
| Authorized Official Name and Position | T Ravishankar (PRESIDENT) |
| Authorized Official Contact | 5166749144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T.ravishankar Md Pc 997 Glen Cove Ave Glen Head NY 11545-1593 Ph: (516) 674-9144 | T.ravishankar Md Pc 997 Glen Cove Ave Glen Head NY 11545-1593 Ph: (516) 674-9144 |
| NPI Number | 1588726426 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 05/11/2009 |
| Medicare PECOS PAC ID | 1658316971 |
|---|---|
| Medicare Enrollment ID | O20050627000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588726426 | NPI | - | NPPES |
| 004375 | Other | NY | LICENSE FOR NUTRITIONIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 125628 (New York) | Primary |
| Provider Name | Tharakaram Ravishankar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083709794 PECOS PAC ID: 8628036944 Enrollment ID: I20050103000473 |
| Provider Name | Chithkala Ravishankar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144315870 PECOS PAC ID: 7113960816 Enrollment ID: I20050630000367 |
Gail Lowenstein, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Carol Ln, Glen Head, NY 11545 Phone: 516-236-3204 Fax: 516-626-7685 | |
Ghazanfar W. Haidery Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 997 Glen Cove Ave, Glen Head, NY 11545 Phone: 516-676-1500 Fax: 516-759-5946 | |
Michael B Capobianco Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Park Plz Ste 1, Glen Head, NY 11545 Phone: 516-801-0334 |