Raveen Thekkeurimbil Raviendran
M.D. | Pediatric Critical Care Medicine | Male
Raveen Thekkeurimbil Raviendran, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Raveen Thekkeurimbil Raviendran is
3626 Ruffin Rd, San Diego, California - 92123-1810. He can be contacted on phone at
858-565-9666 and fax number 858-565-9441.
Raveen Thekkeurimbil Raviendran is a sole proprietor of his business.
NPI number (Unique professional ID) for Raveen Thekkeurimbil Raviendran is
1700081080 which was assigned by NPPES on 18 Jun, 2007 and it was last updated on 22 Aug, 2013.
Raveen Thekkeurimbil Raviendran license number is
A 108610 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in California.
Raveen Thekkeurimbil Raviendran is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Raveen Thekkeurimbil Raviendran basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Raveen Thekkeurimbil Raviendran |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Raveen Thekkeurimbil Raviendran address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3626 Ruffin Rd
San Diego, CA, 92123-1810
United States |
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| Phone Number : | 858-565-9666 |
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| Fax Number : | 858-565-9441 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700081080 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jun, 2007 |
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| Last Updated On : | 22 Aug, 2013 |
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Medicare Participation:
Raveen Thekkeurimbil Raviendran participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1355521535 |
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| Medicare Enrollment ID : | I20110204000297 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2005 |
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| Accepts Medicare? | Yes. Raveen Thekkeurimbil Raviendran accepts medicare insurance. |
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Group Practice Association:
Raveen Thekkeurimbil Raviendran is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Raveen Thekkeurimbil Raviendran is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Anesthesia Service Medical Group | 1153223219 | 240 | 3626 Ruffin Rd
San Diego, CA - 921231810
Ph: 6195659666 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raveen Thekkeurimbil Raviendran are as mentioned. Primary taxonomy code for Raveen Thekkeurimbil Raviendran, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | A 108610 | CA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | A 108610 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Raveen Thekkeurimbil Raviendran such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1700081080 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3626 Ruffin Rd
San Diego, CA, 92123-1810
United States |
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| Phone Number : | 858-565-9666 |
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| Fax Number : | 858-565-9441 |
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Business Location:
Patients can refer following map for directions to
Raveen Thekkeurimbil Raviendran practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.