Ravindrakumar Gangadhariah (NPI# 1922047869, PAC ID# 8921912296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1922047869 |
| PAC ID by PECOS | 8921912296 |
| Professional Enrollment ID | I20070123000032 |
| Full Name | Ravindrakumar Gangadhariah |
| Address |
4624 Progress Dr D Davenport IA 52807-3490 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140280 | TRINITY - ROCK ISLAND |
| 160104 | TRINITY - BETTENDORF |
| Address | Phone | Organization |
|---|---|---|
| 4624 Progress Dr D, Davenport, IA 52807-3490 |
| Street Address |
4624 PROGRESS DR D |
| City | DAVENPORT |
| State | IA |
| Zip | 52807-3490 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine F Oswald | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Karen K Maves | Allergy/immunology | 2112 E 38th St, Davenport, IA 52807-1135 | |
| Robin R Peterson | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert L Koupal | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Wayne M Sliwa | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Judy H Prochaska | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Julia Marmion | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jolene C Atkinson | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert Andrew Gillespie | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jessica M Schultz | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Find all physicians in zip 52807 | |||
| City | DAVENPORT |
| Zip Code | 52807 |
| Specialty | DERMATOLOGY |
| City + Specialty | DAVENPORT + DERMATOLOGY |
Please comment or provide details below to improve the information on Ravindrakumar Gangadhariah.
| 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.