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General NPI Number Information
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NPI Number | 1700085164
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Entity Type | Individual
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Provider Name | REKHA PRIYA RAVEENDRAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 915 OLENTANGY RIVER RD STE 4000
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City | COLUMBUS
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State | OH
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Zip | 43212-3154
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Country | US
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Telephone | 614-366-3687
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Fax | 614-293-9698
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-366-3687
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Fax | 614-293-9698
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 35.096178
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 35.096178
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 35.096178
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License Number State | OH
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