RAVI SHANKAR (NPI# 1861407421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861407421 |
Entity Type | Individual |
Full Name | RAVI SHANKAR |
Credential | MD |
Practice Address |
1430 Pine St Melbourne FL 32901-3119 |
Mailing Address |
Po Box 534595 Atlanta GA 30353-4595 |
Practice Telephone | 3219520898 |
Practice Fax Number | 3217221342 |
Mailing Telephone | 3219520898 |
Mailing Fax Number | 3217221342 |
Enumeration Date | 2006-07-30 |
Last Update Date | 2015-06-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME#90812 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS BLUE SHIELD | 42918 | 01 |
FL | 269743200 | 05 | |
FL | RR MEDICARE | P00468588 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588665525 | Ravi Shankar | Obstetrics & Gynecology | 401 N 11th St, Richmond, VA 23219-1901 | 2005-08-01 |
1417955501 | Ravi Ramalingam Shankar | Physical Medicine & Rehabilitation | 520 Jefferson Ave, Suite 501, Jeannette, PA 15644-2538 | 2005-07-12 |
1306070115 | Ravi Shankar | Psychiatry & Neurology | One Hospital Drive, Columbia, MO 65212-0001 | 2009-05-07 |
1235387259 | Ravi Madhure Shankar | Internal Medicine | 181 S Buena Vista St, 4th Floor, Burbank, CA 91505-4504 | 2008-09-03 |
1093806754 | Ravi Shankar | Internal Medicine | 44215 15th St W Ste 115, Lancaster, CA 93534 | 2006-09-27 |
Street Address |
1430 PINE ST |
City | MELBOURNE |
State | FL |
Zip Code | 32901-3119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013998970 | Craig J Badolato | Internal Medicine | 1430 Pine St, Melbourne, FL 32901-3119 | 2005-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
Find all providers in zip 32901 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407846512 | Nanialei Golden | Radiology | 1130 Hickory St Ste A, Melbourne, FL 32901-1973 | 2005-10-28 |
1578902656 | Lauren Michelle Kropp | Radiology | 1130 Hickory St Ste A, Melbourne, FL 32901-1973 | 2013-06-21 |
1871724955 | Osler Medical Inc | Radiology | 240 N Wickham Rd, Suite 101, Melbourne, FL 32935-8662 | 2009-08-06 |
1962665877 | Rahul R Chopra | Radiology | 1430 S Pine St, Melbourne, FL 32901-3119 | 2008-07-10 |
1255534194 | Anil A Dhople | Radiology | 1130 S Hickory St, Melbourne, FL 32901-1946 | 2007-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
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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.