DR. M.D. Ravindrakumar Gangadhariah, NPI 1922047869
Dermatology Physician in Davenport, IA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1922047869
NPI Entity Type Individual
Provider Name DR. M.D. Ravindrakumar Gangadhariah
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4624 Progress Drive Ste D, Davenport, IA, US
Provider Mailing Address 4624 Progress Drive Ste D, Davenport, IA, US, 52807
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207N00000X

Taxonomy Name Dermatology Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. 36638
License State IA
Description A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Other Name

DR. M.D. Ravi Kumar
Professional Name

Business Address

DR. M.D. Ravindrakumar Gangadhariah
4624 Progress Drive Ste D

Davenport, IA, US

Phone: 563-355-0015
Fax: 563-355-0013

Mailing Address

DR. M.D. Ravindrakumar Gangadhariah
4624 Progress Drive Ste D
Davenport, IA, US
ZIP 52807
Phone: 563-355-0015
Fax: 563-355-0013

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

036-115671 IL No

207R00000X

Allopathic & Osteopathic Physicians

Internal Medicine

036115671 IL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
036115671 IL MEDICAID 05
0744987 IA MEDICAID 05

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1023779097

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Organization

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PA-C Lisa Wells

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PHD Kimberly Chantelle Diah

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Organization

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Anna Marietta Patch

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DR. M.D. Jorge H Perez-cardona

Individual

Hematology & Oncology Physician

1410 N 4th St

Clinton, IA

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