Provider Demographics
NPI:1942213327
Name:RASALINGAM, RAVI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAVI
Middle Name:
Last Name:RASALINGAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 VFW PARKWAY
Mailing Address - Street 2:CARDIOLOGY
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132
Mailing Address - Country:US
Mailing Address - Phone:857-203-6840
Mailing Address - Fax:857-203-5550
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:STE 8A
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-362-1291
Practice Address - Fax:314-362-4278
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2020-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA259993207RC0000X
MO2005002897207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL$$$$$$$$$Medicaid
MO931540183Medicaid
IL$$$$$$$$$Medicaid
MOP00365324Medicare PIN