Organization
FAYETTE EAR, NOSE, THROAT AND ALLERGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDRAN NADARAJAH MD (OWNER)
(724) 430-0310
Entity
Organization
Contact information
Practice address
110 DANIEL DR STE 14, UNIONTOWN, PA 15401-8002
(724) 430-0310
(724) 430-0314
Mailing address
160 WAYLAND SMITH DR STE 204, UNIONTOWN, PA 15401-7500
(724) 430-0310
(724) 430-0314
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
MD073010L
PA
Other
Enumeration date
09/13/2011
Last updated
09/28/2022
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