1851085351 NPI number — DHAYANANTH RATTAIPALIVALASU SARAVANAN M.D.

Table of content: DHAYANANTH RATTAIPALIVALASU SARAVANAN M.D. (NPI 1851085351)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851085351 NPI number — DHAYANANTH RATTAIPALIVALASU SARAVANAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RATTAIPALIVALASU SARAVANAN
Provider First Name:
DHAYANANTH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851085351
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2213 CHERRY ST. MERCY ST VINCENT MEDICAL CENTER
Provider Second Line Business Mailing Address:
INTERNAL MEDICINE RESIDENCY OFFICES
Provider Business Mailing Address City Name:
TOLEDO
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-251-4744
Provider Business Mailing Address Fax Number:
419-251-6795

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2213 FRANKLIN AVE
Provider Second Line Business Practice Location Address:
MERCY FAMILY CARE CENTER
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-251-2360
Provider Business Practice Location Address Fax Number:
419-251-2393
Provider Enumeration Date:
06/07/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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