Suk S De Ravin, M.D., PHD.

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

D0048399 Issued in MD

Practice address

10 Center Dr.
CRC
Bethesda, MD 20896

Phone

(301) 496-6772

Fax

(301) 402-8859

NPI assigned

Apr 20, 2010

Last updated

Apr 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1629394333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 SOUTHWICK ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173509",
            "telephone_number": "301-496-6772",
            "fax_number": "301-402-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR.",
            "address_2": "CRC",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20896",
            "telephone_number": "301-496-6772",
            "fax_number": "301-402-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE RAVIN",
        "first_name": "SUK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "MD",
            "license": "D0048399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah J De la Motte, ATC
• Alexis De la Rosa, LGPC
• Sebastian Cronin De la Torre, MD
• Javier De Luca-Johnson, MD
• Colette De Marneffe, PH.D.
• Jurrien Dean, M.D.
• Conrad Dear, MD
• Jacob Michael Dear, MD
• Marissa Elyse Dearden, MD
• Letitia M Deas, PHARM.D.

• Research Study Specialist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Research Study Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.