Shoba Ravichandran, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

25MA06300000 Issued in NJ

Practice address

7 Clarendon CT
Holmdel, NJ 07733-2406

Phone

(732) 946-0890

NPI assigned

Dec 2, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apollo Health Center LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Hazlet, NJ
  • NPI 1750497772
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1396729430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CLARENDON CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332406",
            "telephone_number": "732-946-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CLARENDON CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332406",
            "telephone_number": "732-946-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVICHANDRAN",
        "first_name": "SHOBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA06300000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soliman Rabbani, M.D.
• Philip N Rabin, DDS
• Radiology Associates, PA
• Sushma Raswant, PT
• Jaimee Ratkoski
• Regain Recovery LLC (Willow Ridge Recovery Center)
• Timothy Patrick Regan, D.D.S
• Regional Cancer Care Associates
• Regional Women's Health Group, LLC (RWHG Holmdel OB GYN Asso.)
• Alexandra Reverendo, MPH, IBCLC

• Endocrinology, Diabetes & Metabolism Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.