Individual
KRISTINA V RAVEENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2820 NAPOLEON AVE, SUITE 890, NEW ORLEANS, LA 70115-6969
(504) 842-4960
(504) 842-4251
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(524) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125060532
IL
207Q00000X
Family Medicine Physician
Primary
MD.206906
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01001734
—
MS
05
—
2368702
—
LA
Enumeration date
07/05/2011
Last updated
12/17/2021
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