Provider Demographics
NPI:1437734811
Name:RAVINDRANATH, ORMA
Entity Type:Individual
Prefix:
First Name:ORMA
Middle Name:
Last Name:RAVINDRANATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 N CRAIG ST APT 710
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2741
Mailing Address - Country:US
Mailing Address - Phone:509-948-0401
Mailing Address - Fax:
Practice Address - Street 1:210 S BOUQUET ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-4034
Practice Address - Country:US
Practice Address - Phone:412-624-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program