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Contact Information

DIPTI RAVINDRANATH, MD
301 E MAIN ST
BAY SHORE, NY11706-8408
 Phone: 516-778-1634
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DIPTI RAVINDRANATH · (Female)

NPI Number 1417187196
Status Active
Credentials MD
Entity Individual
Enumeration date 07/16/2009
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 004104
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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