RAVEENA MEDICAL PC NPI 1013031533

NPI Information

NPI: 1013031533
Provider Name: RAVEENA MEDICAL PC
Classification: Internal Medicine - 207RP1001X
Specialization: Pulmonary Disease
Entity Type: Organization
Address: 1575 HILLSIDE AVENUE # 103
SUITE #103
NEW HYDE PARK, NY
ZIP 11040
Phone: (516) 352-1804

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NPI Details

RAVEENA MEDICAL PC is a pulmonary disease internal medicine in New Hyde Park, NY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. RAVEENA MEDICAL PC NPI is 1013031533. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1575 HILLSIDE AVENUE # 103
SUITE #103
NEW HYDE PARK, NY
ZIP 11040-501
Phone: (516) 352-1804
Fax: (516) 352-1449

The provider's authorized official is Teekaram Persaud .
The authorized official title is President and has the following contact phone number (718) 806-1434.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 12/19/2024.

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	207RP1001X	Internal Medicine	Pulmonary Disease	223596	NEW YORK	Yes

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	02728545	MEDICAID	NEW YORK

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: 3/30/2025

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