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NPI Code Detail

MEDICARE: RAVINDRAKUMAR G GURUSWAMY M. D., MPH

MEDICARE:   RAVINDRAKUMAR G GURUSWAMY  M. D., MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianC55765CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PAROTHERVAFIRST HEALTH COMMERCIAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3PAROTHERVAMULTIPLAN
4PAROTHERVACORVEL/CORCARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6356060OTHERVAANTHEM
710035018OTHERVASENTARA/OPTIMA
82180857OTHERVAUHC/MAMSI
9PAROTHERVAVA PREMIER HEALTH
10-028OTHERVATRICARE
1109641OTHERNCNC BC/BS
121100455OTHERVAUSA MANAGED CARE
139372153OTHERVAAETNA
149433489OTHERVACIGNA
15PAROTHERVAVA HEALTH NETWORK

General Provider Information

NPI Number : 1063694917
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAVINDRAKUMAR G GURUSWAMY M. D., MPH
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 300 W HUNTINGTON DR
Second Line :
City : ARCADIA
State : CA
Zip : 91007-3402
Country : US
Telephone Number : 626-795-2244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2007
Last Update Date : 12/26/2025

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