Individual
MAYURAN RAVINDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2615 LAKE DR STE 301, RALEIGH, NC 27607-6694
(919) 787-5995
(919) 783-9406
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2023-00633
NC
Other
Enumeration date
03/26/2020
Last updated
07/01/2025
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