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Individual
LATHA M. RAVICHANDRAN
Active
Individual
LATHA M. RAVICHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000951607
—
TX
05
—
000951608
—
TX
05
—
154467801
—
TX
05
—
154467803
—
TX
01
—
1649265646
NPI CLINIC
TX
01
—
1821185299
NPI AGENCY
TX
05
—
185649401
—
TX
05
—
187842301
—
TX
05
—
309188603
—
TX
01
—
741715140
TAX ID
TX
Enumeration date
12/12/2006
Last updated
06/12/2024
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