Provider Demographics
NPI:1679675953
Name:RAMAKRISHNA, RAVINDRA K (MD)
Entity Type:Individual
Prefix:DR
First Name:RAVINDRA
Middle Name:K
Last Name:RAMAKRISHNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8600 SW 92ND ST STE 204A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7377
Mailing Address - Country:US
Mailing Address - Phone:305-216-7312
Mailing Address - Fax:305-216-7312
Practice Address - Street 1:3659 S MIAMI AVE STE 5008
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4221
Practice Address - Country:US
Practice Address - Phone:305-854-0616
Practice Address - Fax:305-854-4384
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2018-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036110048207R00000X
PAMT198254207RC0200X
FLME111379207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006294300Medicaid
H72600Medicare UPIN