Manoucher Ravaee


Address: 733 Logan Ave, Suite 3, Danville, IL 61832-4395
Phone: 2174423268

Manoucher Ravaee (NPI# 1972610491, PAC ID# 0446446041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1972610491
PAC ID by PECOS 0446446041
Professional Enrollment ID I20101122000802
Full Name Manoucher Ravaee
Address 733 Logan Ave
Suite 3
Danville
IL 61832-4395
Phone Number 2174423268
Gender M
Graduation Year 1960
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140093 PRESENCE UNITED SAMARITANS MEDICAL CENTER
140113 PRESENCE COVENANT MEDICAL CENTER- URBANA
140091 THE CARLE FOUNDATION HOSPITAL

Other Locations

Address Phone Organization
733 Logan Ave, Suite 3, Danville, IL 61832-4395 2174423268

Organization Information

Office Location

Street Address 733 LOGAN AVE
SUITE 3
City DANVILLE
State IL
Zip 61832-4395

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Competitor

Search similar physicians

City DANVILLE
Zip Code 61832
Specialty INTERNAL MEDICINE
City + Specialty DANVILLE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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