Provider Demographics
NPI:1518730662
Name:SOCKALINGAM, RAVICHANDRAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAVICHANDRAN
Middle Name:
Last Name:SOCKALINGAM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 W SOUTHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4979
Mailing Address - Country:US
Mailing Address - Phone:737-888-0988
Mailing Address - Fax:
Practice Address - Street 1:2403 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3475
Practice Address - Country:US
Practice Address - Phone:737-888-0988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81695231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist