Rajani Ravindra MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME40806 Issued in FL

Legal business name

RAJANI RAVINDRA MD

Practice address

1740 W US Highway 90
Suite 102
Lake City, FL 32055-4718

Phone

(386) 755-3000

NPI assigned

Dec 19, 2016

Organization subpart

No

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

Authorized official

Name

Rajani K Ravindra, MDNPI 1952347767

Title

MD/Owner

Phone

(386) 755-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajani K Ravindra, MD

  • Psychiatry Physician
  • Lake City, FL
  • NPI 1952347767
  NPD (past) Authorized official

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1407391931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W US HIGHWAY 90",
            "address_2": "SUITE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554718",
            "telephone_number": "386-755-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W US HIGHWAY 90",
            "address_2": "SUITE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554718",
            "telephone_number": "386-755-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJANI RAVINDRA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "RAVINDRA",
        "authorized_official_first_name": "RAJANI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "386-755-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME40806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067671300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates of Lake City PA
• Larry Fredric Radke, D.C.
• Beth Ann M Raga
• Raimah Primary Care Center PA
• Marie Raime, M.D
• Parvathamma - Rajasekhar, M.D
• Ramkissoon Weiss Dental PLLC (Oak Hill Dental Group)
• Johann Ramkissoon, DMD
• Kay B Ramnarine, PHARM D
• Randolph Medical Practices PA

• Psychiatry Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.