RAVISH J MAHAJAN (NPI# 1497869929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497869929 |
| Entity Type | Individual |
| Full Name | RAVISH J MAHAJAN |
| Credential | MD |
| Practice Address |
5 Executive Dr Suite B1 Lafayette IN 47905-4867 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 7658070531 |
| Practice Fax Number | 7658070534 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01061610A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000390071 | 01 |
| IN | 200807890 | 05 |
| Street Address |
5 EXECUTIVE DR SUITE B1 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861932469 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 5 Executive Dr, Suite D-2, Lafayette, IN 47905-3832 | 2017-03-01 |
| 1427143205 | Unity Healthcare, LLC | Internal Medicine | 5 Executive Dr, Suite B1, Lafayette, IN 47905-3832 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1992113245 | Unity Healthcare, LLC | Internal Medicine | 1345 Unity Pl Ste 110, Lafayette, IN 47905-5768 | 2014-07-31 |
| 1437416617 | Jacob Lee Breaux | Internal Medicine | 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503 | 2012-04-12 |
| 1922269281 | Melanie Montgomery Bienvenu | Internal Medicine | 408 Shelly Dr, Lafayette, LA 70503-4438 | 2008-06-19 |
| 1801901335 | Patrick Antoine Laperouse | Internal Medicine | 439 Heymann Blvd, Lafayette, LA 70503-2616 | 2006-08-21 |
| 1245261049 | Eugene T Stueben | Internal Medicine | 601 W St Mary Blvd, Suite 310, Lafayette, LA 70506 | 2006-07-06 |
| 1235107673 | Krishna Gannamaneni | Internal Medicine | 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 | 2006-03-10 |
| 1447249800 | Jatinder P Ahluwalia | Internal Medicine | 1101 S College Rd, Lafayette, LA 70503-3038 | 2005-10-18 |
| 1922007996 | Rama Marepally | Internal Medicine | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2005-07-20 |
| 1881191393 | Jacob L Breaux, Md, LLC | Internal Medicine | 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503-2636 | 2018-04-11 |
| 1528430246 | Unity Healthcare, LLC | Internal Medicine | 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 | 2015-10-21 |
| Find all providers in LAFAYETTE | ||||
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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.