Individual
ADHARSH RAVINDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
790 E 5TH ST, COQUILLE, OR 97423-1755
(541) 396-3111
Mailing address
940 E 5TH ST, COQUILLE, OR 97423-1699
(541) 396-3101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD203090
OR
208M00000X
Hospitalist Physician
MD203090
OR
Other
Enumeration date
04/04/2018
Last updated
03/11/2026
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