Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
RAVI THIAGARAJAN MD
Gender: MALE
NPI: 1598746620
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Last Updated: | 2019-07-19 | ||
| Certification Date: |
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1598746620 | ||||||||||||||||
| Enumeration Date | 2005-11-07 | ||||||||||||||||
| NPI Type | 1 - Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address |
PO BOX 9135
ATT:SHARON SILVA
BROOKLINE, MA 02446-9135 United States Phone: 800-927-0002 | Fax: View Map 
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| Primary Practice Address |
300 LONGWOOD AVE
BOSTON, MA 02115-5724 United States Phone: 617-355-6363 | Fax: View Map
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