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Contact Information

ANKEM RAVINDRA, MD
1740 W US HWY 90
STE 101
LAKE CITY, FL32055
 Phone: 386-752-3400
 Fax: 386-752-3110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANKEM RAVINDRA · (Male)

NPI # 1427094242
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2006
Last updated 12/18/2009 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME38632
  • FL Medicaid 065750600
  • Other 110131270 RR MEDICARE
Hospital affiliation(s)
  • LAKE CITY MEDICAL CENTER - (Acute Care)
    340 NW COMMERCE DR
    LAKE CITY, FL 32055
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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