DR. RAVINDRA NATH POLAVARAPU (NPI# 1578632089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578632089 |
| Entity Type | Individual |
| Full Name | DR. RAVINDRA NATH POLAVARAPU |
| Credential | MD |
| Practice Address |
700 Stewart Rd Suite 105 Monroe MI 48162-5304 |
| Practice Telephone | 7342401760 |
| Practice Fax Number | 7342401780 |
| Mailing Telephone | 7342401760 |
| Mailing Fax Number | 7342401780 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
4301058454 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 2605800952 | 01 |
| MI | 3476819 | 05 |
| Street Address |
700 STEWART RD SUITE 105 |
| City | MONROE |
| State | MI |
| Zip Code | 48162-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801996210 | Promedica Monroe Skilled Nursing and Rehab | Skilled Nursing Facility | 700 Stewart Rd, Monroe, MI 48162-5304 | 2006-09-25 |
| 1760014484 | Rachel Berky Johnson | Speech-Language Pathologist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2020-02-11 |
| 1760037808 | Pamudu Dissanayake | Occupational Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2019-08-06 |
| 1003471335 | Katelyn E Grau | Physical Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2019-05-02 |
| 1861963316 | Paige Wittler | Speech-Language Pathologist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2018-12-10 |
| 1356848972 | Dawn Marie Foshag | Occupational Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2018-04-10 |
| 1013413939 | Brian Carmona | Occupational Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2018-03-30 |
| 1760984876 | Christina Danford Parker | Speech-Language Pathologist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2018-03-05 |
| 1417460361 | Elishia Kay Sutter | Physical Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2017-11-14 |
| 1326581760 | Marianne Strzelecki | Occupational Therapist | 700 Stewart Rd, Monroe, MI 48162-5304 | 2016-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730353814 | Joseph Glen Vitolo | Psychiatry & Neurology | 27 Hillsborough Dr, Monroe, NJ 08831-4746 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821339 | Farrah Laviolette | Psychiatry & Neurology | 9178 Highland Rd Ste A, White Lake, MI 48386-4619 | 2019-10-04 |
| 1427563089 | Mlrc A Medical Group PC | Psychiatry & Neurology | 26803 Ryan Rd, Warren, MI 48091-4075 | 2017-12-05 |
| 1528180841 | Michael Notorangelo | Psychiatry & Neurology | 229 E 3rd St, Harbor Springs, MI 49740 | 2007-04-06 |
| 1629120282 | Sanjeev Shanmuga Venkataraman | Psychiatry & Neurology | 4111 Andover Rd, Suite 220, Bloomfield Hills, MI 48302-1909 | 2007-01-16 |
| 1538190541 | Sunil Ramchand Rangwani | Psychiatry & Neurology | 317 E Warwick Dr, Suite B, Alma, MI 48801-1085 | 2006-07-06 |
| 1376500090 | Michael Fulton Brooks | Psychiatry & Neurology | 12851 East Grand River, Brighton Hospital, Brighton, MI 48116 | 2006-04-27 |
| 1508154626 | Lewei Lin | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2011-07-11 |
| 1689907966 | Center for Behavioral Medicine Pllc | Psychiatry & Neurology | 700 S Main St, Suite 210, Lapeer, MI 48446-3077 | 2009-09-17 |
| 1174771083 | Alan Robert Teo | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2008-09-04 |
| 1437318771 | Avinash Hosanagar | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2008-06-02 |
| Find all providers with the same taxonomy | ||||
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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.