DR. RAVI RADHAKRISHNAN (NPI# 1003852930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003852930 |
| Entity Type | Individual |
| Full Name | DR. RAVI RADHAKRISHNAN |
| Credential | MD |
| Practice Address |
301 University Blvd. Galveston TX 77555-0353 |
| Practice Telephone | 4097725666 |
| Practice Fax Number | 4097724253 |
| Mailing Telephone | 4097725666 |
| Mailing Fax Number | 4097724253 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | M0534 | TX | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
M0534 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8U9390 | 01 |
| TX | RAILROAD MEDICARE | P00452855 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457519340 | Ravi Radhakrishnan | Ophthalmology | 559 Gramatan Ave Ste 202, Mount Vernon, NY 10552-2156 | 2008-05-28 |
| Street Address |
301 UNIVERSITY BLVD. |
| City | GALVESTON |
| State | TX |
| Zip Code | 77555-0353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659321412 | Suppiah Balachandran | Specialist | 301 University Blvd., Galveston, TX 77555-1022 | 2006-05-11 |
| 1205451697 | Vern Tien-yo Huang | Internal Medicine | 301 University Blvd., Galveston, TX 77555-0570 | 2020-06-10 |
| 1710508593 | Tera Thomas Kavilaveettil | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2020-05-02 |
| 1164043220 | Jennifer Nguyen | Pediatrics | 301 University Blvd., Galveston, TX 77555-0354 | 2020-04-29 |
| 1275018376 | Reagan Dylan Davis | Physician Assistant | 301 University Blvd., Galveston, TX 77555-0521 | 2018-09-25 |
| 1447744487 | Karunya Jayasimha | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2018-06-21 |
| 1932699972 | Sara Medsker | Pediatrics | 301 University Blvd., Galveston, TX 77555 | 2018-05-15 |
| 1427547165 | Keithlee Gael Orpilla Dolinta | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2018-05-08 |
| 1306367008 | Mary Elizabeth Gomez | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2017-07-03 |
| 1013447788 | Tran Quoc Tuan | Pediatrics | 301 University Blvd., Galveston, TX 77555-1119 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1700362670 | Nidal Alhosainat | Internal Medicine | 301 University Blvd, 4.200 John Sealy Annex, Galveston, TX 77555 | 2018-07-13 |
| 1275915282 | Murtaza Mazhar | Internal Medicine | 301 University Blvd Cardiovascular Disease, Galveston, TX 77555 | 2015-06-25 |
| 1124469531 | Nisarg Shaileshbhai Shah | Internal Medicine | 400 Harborside Dr Suite #100, Endocrinology, Galveston, TX 77555 | 2013-07-13 |
| 1912260860 | Mohammed Fathi Zaidan | Internal Medicine | University of Texas Medical, 301 University Boulevard, Galveston, TX 77555 | 2012-06-15 |
| 1639465925 | Justin Blinn | Anesthesiology | 301 University Blvd # 2-a, Galveston, TX 77555 | 2011-06-24 |
| 1255532982 | Miguel Mauricio Cabada Samame | Internal Medicine | 301 University Boulevard Rt 0435, Galveston, TX 77555 | 2007-05-30 |
| 1154945608 | Elliot Blankespoor | Anesthesiology | 301 University Boulevard, 5.504 Jennie Sealy Hospital, Galveston, TX 77555 | 2020-06-01 |
| 1174144216 | Mariam Choudhry Khan | Family Medicine | 301 University Blvd, Galveston, TX 77555 | 2020-04-29 |
| 1437713633 | Renae Bridges | Nurse Practitioner | 301 University Blvd, Galveston, TX 77555 | 2019-04-24 |
| Find all providers in zip 77555 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851631709 | Shriners Hospitals for Children | Surgery | 815 Market St, Galveston, TX 77550-2725 | 2013-02-28 |
| 1760686364 | Kanika Alake Bowen-jallow | Surgery | 301 University Blvd, 3.220, Galveston, TX 77555-5302 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255775169 | Natasha Corbitt | Surgery | 1935 Medical District Dr Ste D2000, Dallas, TX 75235-7701 | 2013-04-22 |
| 1821327362 | South Texas Health Alliance | Surgery | 528 North Union Street, Suite 250, New Braunfels, TX 78130 | 2009-12-11 |
| 1356519565 | Children's Physician Services of South Texas | Surgery | 3533 S Alameda St Ste 302, Corpus Christi, TX 78411-1721 | 2008-02-11 |
| 1821271503 | Charles E. Baldwin Md | Surgery | 18866 Stone Oak Pkwy # 103-21, San Antonio, TX 78258-4180 | 2007-12-17 |
| 1801845318 | Ambrosio Hernandez IIi | Surgery | 1120 E Ridge Rd, Mcallen, TX 78503-5411 | 2006-05-10 |
| 1477516201 | Jane Franklin Goldthorn | Surgery | 4102 22nd Pl, Lubbock, TX 79410-1122 | 2006-04-11 |
| 1528049723 | Charles Thomas Black | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2005-11-07 |
| 1578554895 | William W Spurbeck | Surgery | 5340 El Paso Dr Ste M, El Paso, TX 79905-2837 | 2005-11-04 |
| 1104820554 | Charles Eugene Baldwin | Surgery | 502 Madison Oak Drive, Suite 330, San Antonio, TX 78258-4298 | 2005-06-13 |
| 1649870304 | Parkhill Surgery Center Plano, LLC | Surgery | 7000 W Plano Pkwy, Plano, TX 75093-8466 | 2020-10-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.