Individual
RAVINDRA BATHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 436-4380
Mailing address
PO BOX 2505, FORT WAYNE, IN 46801-2505
(260) 432-2297
(260) 436-4380
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01029050
IN
207RC0000X
Cardiovascular Disease Physician
Primary
35046350
OH
207RI0011X
Interventional Cardiology Physician
01029050
IN
207UN0901X
Nuclear Cardiology Physician
01029050
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087419
ANTHEM
IN
Enumeration date
01/19/2006
Last updated
09/11/2025
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