Individual
MR. RAVICHANDRAN SUPPIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 S BELMONT ST, YORK, PA 17403-2608
(800) 463-4326
(717) 263-1566
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5102
(703) 563-6256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD426377
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02933397
—
NY
05
—
1014407760001
—
PA
Enumeration date
09/26/2005
Last updated
09/17/2015
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