Individual
RAVINDRAN BALAMBAL PALANIYANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7139 NORTH HIGHWAY US # 1, PORT ST JOHN, FL 32927-5094
(321) 635-8304
(321) 635-8252
Mailing address
6513 RIDGE CT, TITUSVILLE, FL 32780-7404
(321) 269-4464
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0055762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060024950
RAILROAD MEDICARE
FL
05
—
061629000
—
FL
Enumeration date
07/13/2006
Last updated
06/27/2008
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