Chaitanya K Ravi (NPI# 1376504027, PAC ID# 0749183895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1376504027 |
| PAC ID by PECOS | 0749183895 |
| Professional Enrollment ID | I20041207000141 |
| Full Name | Chaitanya K Ravi |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Address |
8600 Liberty Rd Randallstown MD 21133-4707 |
| Phone Number | 4105214211 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678751468 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210012 | SINAI HOSPITAL OF BALTIMORE |
| 210040 | NORTHWEST HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5401 Old Court Rd, Randallstown, MD 21133-5103 | 4107014434 | NORTHWEST HOSPITAL CENTER INC |
| 8600 Liberty Rd, Randallstown, MD 21133-4707 | 4105214211 | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Witanowski | Internal Medicine | Lifebridge Community Physicians Inc | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 |
| Kimberly S Weiss | Physician Assistant | Lifebridge Community Physicians Inc | 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029-1185 |
| Sam A Zamaria | Obstetrics/gynecology | Lifebridge Community Physicians Inc | 118 Shawan Rd, Suite 220, Cockeysville, MD 21030-1318 |
| Ronald L Broadwater Sr. | General Practice | Lifebridge Community Physicians Inc | 688 Poole Rd, Westminster, MD 21157-6166 |
| Ruchira N Thakor | Family Medicine | Lifebridge Community Physicians Inc | 4 W Rolling Crossroads, Suite 100, Catonsville, MD 21228-6280 |
| Charles Phillip Adamo | Family Medicine | Lifebridge Community Physicians Inc | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 |
| Prema Siva | Internal Medicine | Lifebridge Community Physicians Inc | 8871 Gorman Rd, Laurel, MD 20723-5877 |
| Cyrus Hamidi | Family Medicine | Lifebridge Community Physicians Inc | 913 Ridgebrook Rd, Suite 312, Sparks, MD 21152-9457 |
| Elvira Pasmanik | Internal Medicine | Lifebridge Community Physicians Inc | 8600 Liberty Rd, Randallstown, MD 21133-4707 |
| Alexander Bogdaschewskyi | Internal Medicine | Lifebridge Community Physicians Inc | 1011 Baltimore Blvd, Westminster, MD 21157-7055 |
| Street Address |
8600 LIBERTY RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip | 21133-4707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elvira Pasmanik | Internal Medicine | Lifebridge Community Physicians Inc | 8600 Liberty Rd, Randallstown, MD 21133-4707 |
| Bernard Rubin | Cardiovascular Disease (cardiology) | Baltimore Heart Associates, P.a. | 8600 Liberty Rd, Randallstown, MD 21133-4707 |
| Mary Haber | Nurse Practitioner | Lifebridge Community Physicians Inc | 8600 Liberty Rd, Randallstown, MD 21133-4707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| S Marc Testa | Psychologist, Clinical | Sinai Hospital of Baltimore, Inc | 5401 W Belvedere Ave, Sinai Oncology Associates, Randallstown, MD 21133 |
| Eugene Meyer | General Surgery | 5401 Old Court, Randallstown, MD 21133 | |
| Rachel O Adejoh | Nurse Practitioner | 3669 Offutt Rd, Randallstown, MD 21133-3515 | |
| Veronica A Holland-barner | Nurse Practitioner | 3927 Mcdonogh Rd, Randallstown, MD 21133-3633 | |
| Angel V Shannon | Nurse Practitioner | 9133 Sunset Ridge Rd, Randallstown, MD 21133-3651 | |
| Winter Chanal Wesley | Clinical Social Worker | 9026 Allenswood Rd, Randallstown, MD 21133-3731 | |
| Donald J Hayes | General Practice | 9012 Liberty Rd, Randallstown, MD 21133-3910 | |
| Crystal Greene | Nurse Practitioner | 8632 Windmill Rd, Randallstown, MD 21133-4445 | |
| Angela A Swinson | Preventative Medicine | Ms-hc LLC | 8608 Liberty Rd, Randallstown, MD 21133-4707 |
| Mohammad S Malik | General Practice | Ms-hc LLC | 8608 Liberty Rd, Randallstown, MD 21133-4707 |
| Find all physicians in zip 21133 | |||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | RANDALLSTOWN + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.