Suganthi Ravindran Physician P.c
NPI #1912565490 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1912565490
- Entity Type
- Organization
- Organization Name
- Suganthi Ravindran Physician P.c
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 30, 2019
- Last Updated
- May 30, 2019
Practice Location
- Address
- 709 HAWKINS AVE STE 1
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-2293
- Phone
- (631) 588-0880
Authorized Official
- Name
- DR. SUGANTHI RAVINDRAN, MD
- Title
- PRESIDENT
- Phone
- (631) 588-0880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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