Provider Demographics
NPI:1508183575
Name:NATHAVITHARANA, RUVANDHI RANMALEE (MD)
Entity Type:Individual
Prefix:DR
First Name:RUVANDHI
Middle Name:RANMALEE
Last Name:NATHAVITHARANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 PRESCOTT ST
Mailing Address - Street 2:APT 8
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4368
Mailing Address - Country:US
Mailing Address - Phone:617-840-9737
Mailing Address - Fax:
Practice Address - Street 1:333 E 29TH ST
Practice Address - Street 2:NYU LANGONE MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8301
Practice Address - Country:US
Practice Address - Phone:617-840-9737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program