SONAL SHAH RAVICHANDRAN (NPI# 1023157773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023157773 |
| Entity Type | Individual |
| Full Name | SONAL SHAH RAVICHANDRAN |
| Credential | M.D. |
| Practice Address |
17600 Shamrock Blvd Ste 500b Westfield IN 46074-7002 |
| Mailing Address |
Po Box 775985 Chicago IL 60677-5985 |
| Practice Telephone | 3178675263 |
| Practice Fax Number | 3178672031 |
| Mailing Telephone | 3177706900 |
| Mailing Fax Number | 3177706911 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01074219A | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2009013986 | MO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036-116777 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201309770 | 05 |
| Street Address |
17600 SHAMROCK BLVD STE 500B |
| City | WESTFIELD |
| State | IN |
| Zip Code | 46074-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568431302 | Valerie A Beard | Family Medicine | 17600 Shamrock Blvd Ste 500b, Westfield, IN 46074-7002 | 2006-03-15 |
| 1740747435 | Ann Marie Walker | Nurse Practitioner | 17600 Shamrock Blvd Ste 500b, Westfield, IN 46074-7002 | 2019-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191088 | Jessica Lynn Kutz | Specialist/Technologist | 19000 E 191st Street, Suite K, Westfield, IN 46074 | 2019-12-13 |
| 1851805774 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1447 South Waterleaf Dr, Westfield, IN 46074 | 2017-11-30 |
| 1760939946 | Accelerated Rehabilitation Centers, Ltd. | Physical Therapist | 956 Tournament Trail, Westfield, IN 46074 | 2016-09-06 |
| 1285188805 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 16088 Spring Mill Station Dr, Westfield, IN 46074 | 2016-08-11 |
| 1740608157 | Kumar Mokkala | Physical Therapist | 14902 Shelborne Road, Westfield, IN 46074 | 2014-04-02 |
| 1649608886 | Carol Hooe Hughes | Counselor | 14126 Secretariat Ct, Carmel, IN 46074 | 2013-10-25 |
| 1043657166 | Krause Dental | Clinic/Center | 3247 East Sr32, Westfield, IN 46074 | 2013-05-30 |
| 1841539517 | Ruby Christina Burris | Marriage & Family Therapist | 120 Camilla Court, Suite D, Westfield, IN 46074 | 2013-01-31 |
| 1720355704 | Drew Jacobson | Physical Therapy Assistant | 16620 Lakeville Crossing, Westfield, IN 46074 | 2011-11-19 |
| 1841491271 | Glenda Janine Huffman | Physical Therapist | 614 Apollo Pky, Westfield, IN 46074 | 2007-05-31 |
| Find all providers in zip 46074 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1396192738 | Sarah Bashiruddin | Internal Medicine | 75 Springfield Rd Ste 1, Westfield, MA 01085-1832 | 2016-05-16 |
| 1942549480 | Bhupendra M Patel | Internal Medicine | 241 Twin Oaks Ter, Westfield, NJ 07090-1669 | 2013-02-04 |
| 1831448323 | Joseph Derosa, Md, LLC | Internal Medicine | 220 Elmer Street, Westfield, NJ 07090 | 2012-08-30 |
| 1922399070 | Rachel Scherer Shur | Internal Medicine | 324 5 Ave East, Westfield, NJ 07090 | 2011-04-25 |
| 1285889105 | Charles Edward Dooley Jr | Internal Medicine | 560 Springfield Avenue, Westfield, NJ 07092 | 2008-11-19 |
| 1124272687 | Harris S Vernick | Internal Medicine | 255 Munsee Way, Westfield, NJ 07090 | 2008-11-11 |
| 1104079128 | Akinyele Kamau Lovelace | Internal Medicine | 75 Springfield Road Suite 1, Family Medicine Assiociates, Westfield, MA 01085-1890 | 2008-11-04 |
| 1417113762 | Elizabeth Anne Alger | Internal Medicine | 532 Dudley Ct, Westfield, NJ 07090-3029 | 2008-08-05 |
| 1578739181 | Barton Lewis Cobert | Internal Medicine | 31 Plymouth Rd, Westfield, NJ 07090-3434 | 2008-05-03 |
| 1194990887 | Nawal Ibrahim Abdelmessieh | Internal Medicine | 1727 Nevada St, Westfield, NJ 07090-2217 | 2008-04-24 |
| Find all providers in WESTFIELD | ||||
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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.