DR. JAYANTHI R RAMADURAI (NPI# 1639196330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639196330 |
| Entity Type | Individual |
| Full Name | DR. JAYANTHI R RAMADURAI |
| Credential | MD |
| Practice Address |
4901 W 79th St Ste. 5 Burbank IL 60459-1554 |
| Mailing Address |
62647 Collection Center Dr Chicago IL 60693-0626 |
| Practice Telephone | 7086368741 |
| Practice Fax Number | 7086368741 |
| Mailing Telephone | 7084249710 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036073809 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD | 216-22939 | 01 | |
| PALMETTO GBA | 900004038 | 01 | |
| IL | 036073809 | 05 |
| Street Address |
4901 W 79TH ST STE. 5 |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861487423 | Andrea D. Jones | Obstetrics & Gynecology | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2005-09-20 |
| 1538540877 | Advocate Health & Hospital Co | Hospice Care, Community Based | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2015-06-12 |
| 1952724312 | Cristine S. Williams | Dietitian, Registered | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2014-01-21 |
| 1073950622 | Lisa Garland | Internal Medicine | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2013-05-22 |
| 1275827701 | Dave Bolger | Family Medicine | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2011-06-01 |
| 1962630178 | Naveen Abraham | Family Medicine | 4901 W 79th St, Burbank, IL 60459-1554 | 2009-06-25 |
| 1750536082 | Diane Marie Brooks | Physician Assistant | 4901 W 79th St, Burbank, IL 60459-1554 | 2008-12-01 |
| 1588817605 | Seyed Mahmoud Nabavi | Physician Assistant | 4901 W 79th St, Burbank, IL 60459-1554 | 2008-11-03 |
| 1376705772 | Joyce Chen | Family Medicine | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2008-06-26 |
| 1780858027 | Drs Wang M.d.s.c | Allergy & Immunology | 4901 W 79th St, Burbank, IL 60459-1554 | 2008-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306862859 | Karo K Arzoo | Internal Medicine | 201 S Buena Vista St Ste 200, Burbank, CA 91505-4570 | 2006-07-15 |
| 1679917561 | Erwin Grussie | Internal Medicine | 181 S Buena Vista St, Burbank, CA 91505-4504 | 2013-04-22 |
| 1235387259 | Ravi Madhure Shankar | Internal Medicine | 181 S Buena Vista St, 4th Floor, Burbank, CA 91505-4504 | 2008-09-03 |
| 1477721868 | East Valley Hematology Oncology Medical Group | Internal Medicine | 181 S Buena Vista St, 4rth Floor, Burbank, CA 91505-4504 | 2008-02-19 |
| 1306024054 | Herbert Duvivier, Md, PC | Internal Medicine | 2701 W Alameda Ave, Suite 303, Burbank, CA 91505-4402 | 2008-02-05 |
| 1689686958 | Jayanthi Ramadurai Md Sc | Internal Medicine | 4901 W 79th St, Suite 2-3, Burbank, IL 60459-1554 | 2006-08-13 |
| 1427078070 | Gregg Arden Olsen | Internal Medicine | 181 S Buena Vista St, 4rth Floor, Burbank, CA 91505-4504 | 2006-07-19 |
| 1366462939 | Edwin Lawrence Jacobs | Internal Medicine | 181 S Buena Vista St, 4rth Floor, Burbank, CA 91505-4504 | 2006-07-19 |
| 1376561399 | Francesco Federico | Internal Medicine | 2601 W Alameda Ave, Suite 210, Burbank, CA 91505-4810 | 2006-07-17 |
| 1538187547 | Maurice Julian Berkowitz | Internal Medicine | 181 S Buena Vista St, 4rth Floor, Burbank, CA 91505-4504 | 2006-07-17 |
| Find all providers in BURBANK | ||||
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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.