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Tiruvadi Ravigururajan, PA-C
Medical Physician Assistant in Wichita, Kansas
NPI 1871692129

Tiruvadi Ravigururajan is a Medical Physician Assistant based in Wichita, KS and is specialized in Medical. Tiruvadi Ravigururajan practices in Wichita, KS and has the professional credentials of PA-C. The NPI Number for Tiruvadi Ravigururajan is 1871692129 and holds a License No. 15-01080 (Kansas).

The current practice location address for Tiruvadi Ravigururajan is 2318 E Central Ave, Wichita, KS and can be reached out via phone at 316-262-3611 and via fax at 316-262-0741. You can also correspond with Tiruvadi Ravigururajan through the mailing address at 2318 E CENTRAL AVE, WICHITA, KS - 67214-4436 (mailing address contact number: 316-262-3611).

Location: 2318 E Central Ave, Wichita, KS, 67214-4436
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Provider Profile Details
NPI Number
1871692129
Provider Name
Tiruvadi Ravigururajan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2318 E Central Ave, Wichita, KS, 67214-4436
Phone Number
316-262-3611
Fax Number
316-262-0741
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
427015 01 KS BCBS
institution
Provider Business Practice Location Address Details
Address
2318 E Central Ave
City
State
Zip
67214-4436
Phone Number
316-262-3611
Fax Number
316-262-0741
person
Provider Business Mailing Address Details
Address
2318 E Central Ave
City
State
Zip
67214-4436
Phone Number
316-262-3611
Fax Number
316-262-0741
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
15-01080 (Kansas)
Definition
Definition to come...
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