Doctor Name: | RAVI TANDON |
NPI Number: | 1841462710 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 262464 |
Business Practice Address: | 3900 Veterans Memorial Blvd 200 Metairie, LA - 700025634 |
Business Phone Number: | 5044551000 |
Business Fax Number: | |
Mailing Address: | 1431 Octavia Street, Advancer Reconstructive Care, Llc NEW ORLEANS |
State: | LA |
Postal Code: | 70115 |
Phone Number: | 5049947631 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 262464 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |