National Provider Identifier
Sanjeetha Dea Raveendranathan, MD
Sanjeetha Dea Raveendranathan, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Elmira, NY and a listed phone number of (607) 737-4100.
Profile Overview
- NPI
- 1538862123
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 23, 2023
- Last Updated
- April 11, 2023
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1676
Phone: (607) 737-4100
Mailing Address
- 1001 Hoffman St
- Elmira, NY 14905-1605
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1538862123
- Entity Type
- Individual
- Last Name
- Raveendranathan
- First Name
- Sanjeetha
- Middle Name
- Dea
- Credential
- MD
- Mailing Street Address
- 1001 Hoffman St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-1605
- Mailing Country
- US
- Mailing Phone
- (607) 442-1713
- Mailing Fax
- (607) 873-7359
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1676
- Practice Country
- US
- Practice Phone
- (607) 737-4100
- Enumeration Date
- March 23, 2023
- Last Updated
- April 11, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)