PAVAN MAHENDRA RAVELLA (NPI# 1710212147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710212147 |
| Entity Type | Individual |
| Full Name | PAVAN MAHENDRA RAVELLA |
| Credential | MD |
| Practice Address |
420 N 26th St Lafayette IN 47904-2848 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2016-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
01075948A | IN | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
01075948A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000964118 | 01 |
| IN | 201320510 | 05 |
| Street Address |
420 N 26TH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760451413 | Vijaya Kakani | Internal Medicine | 420 N 26th St, Lafayette, IN 47904-2842 | 2006-03-15 |
| 1598226110 | Delaney M Behr | Registered Nurse | 420 N 26th St, Lafayette, IN 47904-2848 | 2019-03-27 |
| 1134604697 | Samuel Durham | Pharmacist | 420 N 26th St, Lafayette, IN 47904-2848 | 2018-10-01 |
| 1003391814 | Erin Hoag | Pharmacist | 420 N 26th St, Lafayette, IN 47904-2848 | 2018-09-27 |
| 1730475120 | Nadine L Cline | Registered Nurse | 420 N 26th St, Lafayette, IN 47904-2848 | 2011-06-23 |
| 1144488917 | Matthew Orton | Radiology | 420 N 26th St, Lafayette, IN 47904-2848 | 2008-05-29 |
| 1639234537 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 420 N 26th St, Lafayette, IN 47904-2842 | 2006-12-22 |
| 1730158932 | George Frank Ramsey | Internal Medicine | 420 N 26th St, Lafayette, IN 47904-2842 | 2006-03-17 |
| 1629047196 | Thomas I Jones | Internal Medicine | 420 N 26th St, Lafayette, IN 47904-2842 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727845 | American Oncology Partners, P.a. | Internal Medicine | 8550 Naab Rd Ste 205, Indianapolis, IN 46260-2092 | 2019-02-23 |
| 1124585476 | American Oncology Partners, P.a. | Internal Medicine | 2505 N Lebanon St Ste 125, Lebanon, IN 46052-8615 | 2019-02-22 |
| 1598222846 | American Oncology Partners, P.a. | Internal Medicine | 13914 Southeastern Pkwy Ste 203a, Fishers, IN 46037-7125 | 2019-02-22 |
| 1447523337 | Leo J Mccarthy | Internal Medicine | 7480 Holliday Drive East, Indianapolis, IN 46260 | 2012-02-23 |
| 1154449528 | John Alexander Cavins | Internal Medicine | 36 Twinshore Ct, Carmel, IN 46033 | 2007-03-26 |
| 1124102231 | Utpal P Dave | Internal Medicine | 535 Barnhill Drive, Indianapolis, IN 46202-5112 | 2006-10-25 |
| 1881686848 | Hillary H Wu | Internal Medicine | 6845 Rama Dr, Indianapolist, IN 46219-1707 | 2005-08-16 |
| 1063404002 | Thomas L Whittaker | Internal Medicine | One Memorial Sq, Ste 50, Greenfield, IN 46140-1357 | 2005-08-16 |
| 1336146372 | Karuna S Koneru | Internal Medicine | 514 W 2nd St, Bloomington, IN 47403-2316 | 2005-07-06 |
| 1932666286 | American Oncology Partners, P.a. | Internal Medicine | 395 Westfield Rd, Noblesville, IN 46060-1425 | 2019-02-22 |
| 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.