INDIRA RAVISHANKAR M.D. NPI 1962441873

NPI Information

NPI: 1962441873
Provider Name: INDIRA RAVISHANKAR, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
169 MINNISINK RD
TOTOWA, NJ
ZIP 07512
Phone: (973) 256-1700
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Indira Ravishankar, M.D. is a general practice in Totowa, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Indira Ravishankar, M.D. NPI is 1962441873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

169 MINNISINK RD
TOTOWA, NJ
ZIP 07512-803
Phone: (973) 256-1700
Fax: (973) 890-4574

The enumeration date for this NPI number is 6/6/2006 and was last updated on 1/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		MA3665600	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	834563B1J	OTHER	NEW JERSEY	MEDICARE BILLING
2	G21636	MEDICARE UPIN	NEW JERSEY
3	4499701	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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