DR. SHANTAN BHARGAV REDD RAVULA (NPI# 1245465541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245465541 |
| Entity Type | Individual |
| Full Name | DR. SHANTAN BHARGAV REDD RAVULA |
| Credential | MD |
| Practice Address |
14225 Highway 73 Prairieville LA 70769-3616 |
| Mailing Address |
2647 S Saint Elizabeth Blvd Suite 219 Gonzales LA 70737-5021 |
| Practice Telephone | 2256478511 |
| Mailing Telephone | 2256478511 |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2014-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
206173 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2348019 | 05 |
| Street Address |
14225 HIGHWAY 73 |
| City | PRAIRIEVILLE |
| State | LA |
| Zip Code | 70769-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548489875 | Lakisha Lee | Pediatrics | 14225 Highway 73, Prairieville, LA 70769-3616 | 2007-04-25 |
| 1457742199 | Michelle Cox Duplantis | Nurse Practitioner | 14225 Highway 73, Prairieville, LA 70769-3616 | 2015-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670252 | Lam Dentistry | Clinic/Center | 37341 Perkins Road, Prairieville, LA 70769 | 2019-07-09 |
| 1124597836 | Tien-trang Thi Le | Pharmacist | 40567 La-42, Prairieville, LA 70769 | 2018-11-26 |
| 1245707884 | Prairieville Emergency Physicians, Pllc | General Acute Care Hospital | 37358 Market Place Dr., Prairieville, LA 70769 | 2018-11-01 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1003311234 | Toni Duhe Byers | Counselor | 40228 Parker Road, Prairieville, LA 70769 | 2018-03-29 |
| 1205330990 | Grace Family Chiropractic LLC | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769 | 2018-03-19 |
| 1184127698 | Kenya Smith | Case Manager/Care Coordinator | 36369 Crestway Ave, Prairieville, LA 70769 | 2018-03-10 |
| 1376055798 | Jennifer Gravois Granier | Pharmacist | 40567 La Hwy 42, Prairieville, LA 70769 | 2017-10-25 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1629598537 | Keshla Washington | Specialist/Technologist | 36505 Oak Plaza Ave, Suite B, Prairieville, LA 70769 | 2017-06-21 |
| Find all providers in zip 70769 | ||||
| Taxonomy Code | 207QS1201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sleep Medicine |
| A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721853 | Saramed LLC | Family Medicine | 8020 Captain Dillon Ct, Shreveport, LA 71115-4606 | 2019-10-09 |
| 1992154827 | Deep Sleep, LLC | Family Medicine | 4912 Tulane Dr, Baton Rouge, LA 70808-4763 | 2016-06-10 |
| 1659839561 | Ssm Group Practice LLC | Family Medicine | 2612 Severn Ave, Metairie, LA 70002-5935 | 2019-03-10 |
| 1992236152 | Wk Shreveport Sleep Medicine | Family Medicine | 1666 E Bert Koun Loop, Suite 230, Shreveport, LA 71105-5714 | 2017-03-21 |
| 1881910040 | Mohammad Hammad Cheema | Family Medicine | 4232 Williams Blvd, Suite #108, Kenner, LA 70065-2271 | 2010-04-13 |
| City | PRAIRIEVILLE |
| Zip Code | 70769 |
Please comment or provide details below to improve the information on DR. SHANTAN BHARGAV REDD RAVULA.
| 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.