Raveen Thekkeurim Raviendran in San Diego - Pediatric Critical Care Medicine
Raveen Thekkeurim Raviendran - NPI 1700081080
Raveen Thekkeurim Raviendran is a Pediatric Critical Care Medicine in San Diego, California. Raveen Thekkeurim Raviendran practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Raveen Thekkeurim Raviendran is 1700081080. The last update date is 2013-08-22.
Raveen Thekkeurim Raviendran's current location address is 3626 Ruffin Rd, San Diego, California. You can contact this provider via phone number 8585659666 and fax number 8585659441. The mailing address for Raveen Thekkeurim Raviendran is 3626 Ruffin Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raveen Thekkeurim Raviendran |
|---|---|
| Address | 3626 Ruffin Rd, San Diego, California |
| Phone Number | 8585659666 |
| Fax Number | 8585659441 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700081080 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2013-08-22 |
Provider Mailing Address Detail
| Address | 3626 Ruffin Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921231810 |
| Phone Number | 8585659666 |
| Fax Number | 8585659441 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | A 108610 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1700081080 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Raveen Thekkeurim Raviendran by the Centers for Medicare & Medicaid Services?
The Raveen Thekkeurim Raviendran has been assigned the NPI (National Provider Identifier) 1700081080 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Raveen Thekkeurim Raviendran's facilities are geographically located?
The facilities of Raveen Thekkeurim Raviendran are physically situated at the following location: 3626 Ruffin Rd, San Diego, CA, 921231810.
What is Raveen Thekkeurim Raviendran's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Raveen Thekkeurim Raviendran is Pediatric Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700081080 to Raveen Thekkeurim Raviendran?
The Raveen Thekkeurim Raviendran received its 1700081080 assignment from the Centers for Medicare & Medicaid Services on 2007-06-18.
When was the Raveen Thekkeurim Raviendran's information last updated?
The Raveen Thekkeurim Raviendran's information was last updated on 2013-08-22.