Dheepthi Arakonam Ravishankar, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Brooklyn, NY
NPI 1104447648 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1104447648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- Suny Downstate 450 Clarkson Avenue
General Surgery
Brooklyn, NY 11203-2012 - Phone
- (718) 270-3302
- NPI assigned
- May 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
Suny Downstate 450 Clarkson Avenue
General Surgery
Brooklyn, NY 11203-2012
Mailing address
Suny Downstate 450 Clarkson Avenue
General Surgery
Brooklyn, NY 11203-2012
Other providers in Brooklyn, NY
- Manal Arafat
- Zulma Lissette Aragon
- Chieko Arai
- Sofia Yaseen Arain
- Elliot Arakanchi
- Joseph James Arampulikan
- Celio Arana
- Tania Arana
- Jose Mari Aranas
- Sylwia Agnieszka Arancibia
All providers in Brooklyn, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.