Srinivas R Ravanam, M.D. Valid NPI

Individual provider · Internal Medicine Physician · East Dundee, IL

NPI

1346294469

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

036110141 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-22

Last updated

2014-02-24