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Contact Information

DIVY RAVINDRANATH, MD
4250 PLYMOUTH RD
ANN ARBOR, MI48109-2700
 Phone: 734-764-6443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DIVY RAVINDRANATH · (Male)

NPI Number 1093840142
Status Active
Credentials MD
Entity Individual
Enumeration date 02/22/2007
Last updated 05/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301086402
Hospital affiliation(s)
  • SAN MATEO MEDICAL CENTER - (Acute Care)
    222 W 39TH AVE
    SAN MATEO, CA 94403
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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