RAVINDRA BATHINA M.D. NPI 1124008768

NPI Information

NPI: 1124008768
Provider Name: RAVINDRA BATHINA, M.D.
Classification: Nuclear Medicine - 207UN0901X
Entity Type: Individual

Specialization: Nuclear Cardiology

Address:
7916 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 432-2297
Get Directions

Ravindra Bathina, M.D. is a nuclear cardiology nuclear medicine in Fort Wayne, IN. The provider is a nuclear medicine physician who specializes in nuclear cardiology. Ravindra Bathina, M.D. NPI is 1124008768. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7916 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-140
Phone: (260) 432-2297
Fax: (260) 436-4380

The enumeration date for this NPI number is 1/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0901X	Nuclear Medicine	Nuclear Cardiology	01029050	INDIANA	Yes
2	207RI0011X	Internal Medicine	Interventional Cardiology	01029050	INDIANA	X
3	207RC0000X	Internal Medicine	Cardiovascular Disease	01029050	INDIANA	X
4	207RC0000X	Internal Medicine	Cardiovascular Disease	35046350	OHIO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	058490H	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
2	000000087419	OTHER	INDIANA	ANTHEM
3	C02611	MEDICARE UPIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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