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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MUTTATHIL P RAVINDRANATHAN, M.D.

Active Sole Proprietor

DR. MUTTATHIL P RAVINDRANATHAN, M.D. is a Specialist healthcare provider located in BROOKSVILLE, Florida. NPI 1700851813 is currently active in the NPPES registry. Verify at CMS.

Specialist · BROOKSVILLE, FL

Registration Details

NPI Number
1700851813
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2006 (20.429831783054 yrs)
Last Updated
Oct 19, 2009
License
ME0027078 (FL)
Sole Proprietor
Yes

Practice Information

Address
14540 CORTEZ BLVD
SUITE 119
BROOKSVILLE, FL, 346136056
Browse FL providers · Browse ZIP 34613
Phone
3525973353
Fax
3525973368
Primary Specialty
Specialist
174400000X

Other Specialist Providers in BROOKSVILLE, FL

Name Credential NPI
DR. KRISHNA M GANTI M.D. 1063413128
THOMAS MATHEWS MD 1316926421
DR. RAMAKRISHNA P KANURI M.D., P.A. 1487615712
DR. RICHARD W SPRINGSTEAD M.D. 1205899739
MEDHAT ALLAM REHEEM MD 1073555397
DR. LEONARD BAILY ORBAN M.D. 1083633606
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.