Individual
RAVI TANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 VETERANS MEMORIAL BLVD, 200, METAIRIE, LA 70002-5634
(504) 455-1000
Mailing address
1431 OCTAVIA STREET, ADVANCER RECONSTRUCTIVE CARE, LLC, NEW ORLEANS, LA 70115
(504) 994-7631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD 202251
LA
390200000X
Student in an Organized Health Care Education/Training Program
262464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500330
—
LA
Enumeration date
03/31/2008
Last updated
10/28/2015
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