DR. BHANU RAVINDRAN (NPI# 1336484013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336484013 |
| Entity Type | Individual |
| Full Name | DR. BHANU RAVINDRAN |
| Credential | MD |
| Practice Address |
2701, 17th St Trinity Medical Centre Rock Island IL 61201 |
| Mailing Address |
3723 53rd Ave Springs At Bettendorf Bettendorf IA 52722-1191 |
| Practice Telephone | 3097795000 |
| Mailing Telephone | 5638238404 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036.131659 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2701, 17TH ST TRINITY MEDICAL CENTRE |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
| 1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
| 1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
| 1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
| 1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
| 1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
| Find all providers in zip 61201 | ||||
| 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 |
|---|---|---|---|---|
| 1336142629 | Deepak Ahuja | Internal Medicine | 2701 17th St, Rock Island, IL 61201-5351 | 2005-05-31 |
| 1093186314 | Muhammad Yasir Khan | Internal Medicine | 2701 17th St, Rock Island, IL 61201-5351 | 2015-10-13 |
| 1710369210 | Andre Noumi | Internal Medicine | 2701 17th St, Rock Island, IL 61201-5351 | 2015-06-22 |
| 1457731291 | Maryam Siddiqui | Internal Medicine | 2701 17th St, Rock Island, IL 61201-5351 | 2015-06-07 |
| 1780004275 | Rebecca Hayes | Internal Medicine | 2750 11th St, Rock Island, IL 61201 | 2014-04-23 |
| 1457793820 | Mashooque Ali Dahar | Internal Medicine | 2701 17th St, Rock Island, IL 61201-5351 | 2013-07-25 |
| 1003259524 | Quang Tung Nguyen | Internal Medicine | 2701 17th St, Hospitalist Program, Rock Island, IL 61201 | 2013-04-15 |
| 1073883674 | Vijayalakshmi Mukkamalla | Internal Medicine | 2701 17th St, Rock Island, IL 61201-5351 | 2012-01-12 |
| 1518272723 | Burim Neziroski | Internal Medicine | 2701 17th St, Rock Island, IL 61201-5351 | 2010-08-11 |
| 1487819520 | Muddasir Ashraf | Internal Medicine | 2701 17th St, Rock Island, IL 61201-5351 | 2008-07-28 |
| Find all providers in ROCK ISLAND | ||||
| City | ROCK ISLAND |
| Zip Code | 61201 |
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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.