RAVITHARAN KRISHNADASAN (NPI# 1174538995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174538995 |
| Entity Type | Individual |
| Full Name | RAVITHARAN KRISHNADASAN |
| Credential | M.D. |
| Practice Address |
3838 N Campbell Ave Tucson AZ 85719-1478 |
| Mailing Address |
2701 E Elvira Rd Tucson AZ 85756-7124 |
| Practice Telephone | 5206942873 |
| Practice Fax Number | 5206941820 |
| Mailing Telephone | 5208743500 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
12173 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 380225 | 05 | |
| RI | RK68305 | 05 |
| Street Address |
3838 N CAMPBELL AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912905589 | Joseph D. Shrager | Dermatology | 3838 N Campbell Ave, Tucson, AZ 85719-1478 | 2005-07-08 |
| 1922624451 | Felicia S Goraj | Nurse Practitioner | 3838 N Campbell Ave, Tucson, AZ 85719-1454 | 2020-06-20 |
| 1265056329 | Catelyn Slayback | Genetic Counselor, MS | 3838 N Campbell Ave, Tucson, AZ 85719-1454 | 2020-06-04 |
| 1841833118 | Allison Marie Klatt | Nurse Practitioner | 3838 N Campbell Ave, Tucson, AZ 85719-1454 | 2019-10-19 |
| 1265093769 | Alexa Danielle Rosenblum | Genetic Counselor, MS | 3838 N Campbell Ave, Tucson, AZ 85719-1478 | 2019-06-25 |
| 1811477672 | Lauren Jae Sanders | Pharmacist | 3838 N Campbell Ave, Tucson, AZ 85719-1478 | 2018-08-20 |
| 1881172039 | Jocelyn Buckingham | Physical Therapist | 3838 N Campbell Ave, Tucson, AZ 85719-1478 | 2018-07-31 |
| 1396231296 | Kyrsten Leigh Wright | Registered Nurse | 3838 N Campbell Ave, Tucson, AZ 85719-1478 | 2018-07-03 |
| 1740773829 | Amanda Kay Finlayson | Nurse Practitioner | 3838 N Campbell Ave, Tucson, AZ 85719-1454 | 2018-06-12 |
| 1588152490 | Steven Nguyen | General Practice | 3838 N Campbell Ave, Building 2, Dept Radiation Oncology, Tucson, AZ 85719-8571 | 2018-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740700798 | Iloabueke Gabriel Chineke | Internal Medicine | 3838 N. Campbell Ave, Tucson, AZ 85719-1454 | 2017-06-21 |
| 1528230737 | Natalie Anne Stanton | Internal Medicine | 3987 E Paradise Falls Dr Ste 119, Tucson, AZ 85712-6693 | 2008-03-27 |
| 1679501282 | Arizona Hematology Oncology PC | Internal Medicine | 6130 N Lacholla Blvd, 117, Tucson, AZ 85741 | 2006-06-30 |
| 1861461147 | Christopher Disimone | Internal Medicine | 603 N. Wilmot Rd., Ste 151, Tucson, AZ 85710-3587 | 2006-03-17 |
| 1447229711 | Robert John Brooks | Internal Medicine | 3945 E Paradise Falls Dr Ste 105, Tucson, AZ 85712-6686 | 2006-03-17 |
| 1679545016 | David Alberts | Internal Medicine | 1515 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-02-01 |
| 1215924840 | Laurie L Chen | Internal Medicine | 2070 W Rudasill Rd Ste 130, Tucson, AZ 85704-7891 | 2005-09-29 |
| 1114923943 | Suresh B Katakkar | Internal Medicine | 1891 W Orange Grove Rd, Tucson, AZ 85704-1116 | 2005-06-27 |
| 1093370918 | Arizona Blood and Cancer Specialists, Pllc | Internal Medicine | 3945 E Paradise Falls Dr Ste 201, Tucson, AZ 85712-6687 | 2019-05-06 |
| 1689196719 | Richy Agajanian Md A Professional Corporation | Internal Medicine | 1701 W Saint Marys Rd Ste 100, Tucson, AZ 85745-2621 | 2017-07-11 |
| Find all providers in TUCSON | ||||
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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.