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NPI Code Detail

MEDICARE: JANANISREE RAVICHANDRAN

MEDICARE: JANANISREE RAVICHANDRAN
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
12084N0400XNeurology PhysicianBP10078523TX
22084N0400XNeurology PhysicianW5936TX

General Provider Information

NPI Number : 1679215974
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANANISREE RAVICHANDRAN
Provider Business Mailing Address
First Line : 1201 W 38TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W 38TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1006
Country : US
Telephone Number : 512-324-1058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 05/29/2026

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Directions to “ JANANISREE RAVICHANDRAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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