Individual
AMY L RAVINDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1839 BUFORD HWY NE, STE 100, ATLANTA, GA 30309
(770) 663-1100
(770) 663-1101
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
(206) 520-3186
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
000000
GA
207X00000X
Orthopaedic Surgery Physician
Primary
35.149068
OH
207X00000X
Orthopaedic Surgery Physician
MD60739543
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144583261
—
WA
01
—
8966743
MEDICARE PIN
WA
Enumeration date
06/22/2012
Last updated
05/13/2024
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