Individual
THANJAVUR RAVIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LIJMC DEPT OF SURGERY, 270 05 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-7215
Mailing address
LIJMC DEPT OF SURGERY, 270 05 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-7215
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
135690
NY
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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