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Individual

DR. KONDARAMVALAPPIL K RAVINDRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 COOPER AVE, SUITE 4100, SAGINAW, MI 48602-5182
(989) 497-9395
(989) 497-9599
Mailing address
900 COOPER AVE, SUITE 4100, SAGINAW, MI 48602-5182
(989) 497-9395
(989) 497-9599

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
43010037197
MI
207RI0011X
Interventional Cardiology Physician
4301037197
MI
207UN0901X
Nuclear Cardiology Physician
4301037197
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KR037197
LICENSE #
MI
Enumeration date
09/20/2005
Last updated
10/19/2012
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