THULASIRAMAN P RAVICHANDRAN (NPI# 1861447906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861447906 |
| Entity Type | Individual |
| Full Name | THULASIRAMAN P RAVICHANDRAN |
| Credential | MD |
| Practice Address |
2025 W Oklahoma Ave Suite 120 Milwaukee WI 53215-4455 |
| Practice Telephone | 4143828960 |
| Practice Fax Number | 4143828975 |
| Mailing Telephone | 4143828960 |
| Mailing Fax Number | 4143828975 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
38984-020 | WI | Allopathic & Osteopathic Physicians |
| N | 2084D0003X |
Psychiatry & Neurology Specialization: Diagnostic Neuroimaging |
38984-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | 130020975 | 01 |
| WI | 32352600 | 05 |
| Street Address |
2025 W OKLAHOMA AVE SUITE 120 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498214 | Charles J Lanzarotti | Internal Medicine | 2025 W Oklahoma Ave, Ste 100, Milwaukee, WI 53215-4455 | 2005-06-21 |
| 1538572722 | Andrew James Sandgren | Physical Therapist | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2014-06-05 |
| 1538570205 | Kathryn Perz | Nurse Practitioner | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2014-05-15 |
| 1598065559 | Kristine Irene Fleis | Physical Therapist | 2025 W Oklahoma Ave, Suite 104, Milwaukee, WI 53215-4455 | 2010-10-25 |
| 1215163449 | Dana L Reamy | Physical Therapist | 2025 W Oklahoma Ave, Suite 104, Milwaukee, WI 53215-4455 | 2009-06-02 |
| 1497997688 | St Francis Hospital | Rehabilitation Unit | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2009-04-02 |
| 1548406135 | Circle of Life Womens Healthcare Sc | Obstetrics & Gynecology | 2025 W Oklahoma Ave, Suite 122, Milwaukee, WI 53215-4455 | 2009-01-02 |
| 1720230048 | Arrhythmia Consultants of Milwaukee, Sc | Internal Medicine | 2025 W Oklahoma Ave, Suite 102, Milwaukee, WI 53215-4455 | 2008-10-17 |
| 1801050588 | Craig Sather | Physical Therapist | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2008-07-11 |
| 1881857605 | Kathleen T. Walsh | Occupational Therapist | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295919173 | Denis Nathan | Psychiatry & Neurology | 2589 N Terrace Ave, Milwaukee, WI 53211-3821 | 2007-12-27 |
| 1235355496 | Ayman Ahmad Gheith | Psychiatry & Neurology | 2801 W Kinnickinnic River Pkwy Ste 630, Milwaukee, WI 53215-5212 | 2007-04-17 |
| 1881764652 | Neurowisconsin Sc | Psychiatry & Neurology | 3033 S 27th St, 302, Milwaukee, WI 53215 | 2006-11-09 |
| 1669405742 | Marc Jeffrey Novom | Psychiatry & Neurology | 8989 N Port Washington Road, Suite 122, Milwaukee, WI 53217 | 2006-07-09 |
| 1356389258 | Veronica N Sosa | Psychiatry & Neurology | 2801 W Kinnickinnic Pkwy, Suite 570, Milwaukee, WI 53215-3669 | 2006-06-03 |
| 1770534513 | Hendrikus G Krouwer | Psychiatry & Neurology | 2350 N Lake Dr. Ste G01, Csm Cancer Center-milwaukee, Milwaukee, WI 53211-4528 | 2006-05-15 |
| 1194776922 | Serena Wan-si Wan-si Hung | Psychiatry & Neurology | Froedtert & Med College Clin - West, 9200 West Wisconsin Avenue, Milwaukee, WI 53226 | 2006-05-15 |
| 1861489536 | Rizwanullah Arain | Psychiatry & Neurology | 6026 W Lisbon Ave, Milwaukee, WI 53210-2114 | 2005-09-28 |
| 1689136129 | Ryan Lee | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-04-03 |
| 1700316122 | Kevin Chow | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-06-18 |
| Find all providers in MILWAUKEE | ||||
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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.