Provider Demographics
NPI:1144355918
Name:RAGAVAN, NILIMA MANUDHANE (MD)
Entity type:Individual
Prefix:DR
First Name:NILIMA
Middle Name:MANUDHANE
Last Name:RAGAVAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:41 VALENCIA CT
Mailing Address - Street 2:
Mailing Address - City:PORTOLA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94028-7923
Mailing Address - Country:US
Mailing Address - Phone:650-529-0889
Mailing Address - Fax:650-529-0885
Practice Address - Street 1:750 WELCH RD
Practice Address - Street 2:SUITE 315
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1507
Practice Address - Country:US
Practice Address - Phone:650-723-5711
Practice Address - Fax:650-482-6107
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA453702080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine