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Laxshika Raveendran, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1447953898

Laxshika Raveendran is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Laxshika Raveendran practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Laxshika Raveendran is 1447953898 and holds a License No. (New York).

The current practice location address for Laxshika Raveendran is 100 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-444-7878.

Location: 100 Nicolls Rd, Stony Brook, NY, 11794-8121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447953898
Provider Name
Laxshika Raveendran
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 Nicolls Rd, Stony Brook, NY, 11794-8121
Phone Number
631-444-7878
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-8121
Phone Number
631-444-7878
Fax Number
person
Provider Business Mailing Address Details
Address
100 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-8121
Phone Number
631-444-7878
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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