Provider Demographics
NPI:1992025712
Name:RAVINDRAN, KARTHIK (MD)
Entity type:Individual
Prefix:DR
First Name:KARTHIK
Middle Name:
Last Name:RAVINDRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:93 WAVERLY ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-7220
Mailing Address - Country:US
Mailing Address - Phone:508-205-9893
Mailing Address - Fax:508-213-3581
Practice Address - Street 1:463 WORCESTER RD STE 102A
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5354
Practice Address - Country:US
Practice Address - Phone:508-205-9893
Practice Address - Fax:508-213-3581
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA255037207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine