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MR. RAGAVENDAR SARAVANABAVANANDAN MBBS
NPI 1073360376
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since May 03, 2024
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-9351(309) 655-7732 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, May 3, 2024 (2 updates tracked since 2024).

About Mr. Ragavendar Saravanabavanandan Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RAGAVENDAR SARAVANABAVANANDAN MBBS (NPI 1073360376) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1073360376
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. RAGAVENDAR SARAVANABAVANANDANCredential: MBBS
Location Address530 NE GLEN OAK AVEPeoria, IL 61637
Mailing Address530 Ne Glen Oak Ave, Attn: Marti SokolowskiPeoria, IL 61637 · (309) 624-9351 · Fax (309) 655-7732
Phone(309) 624-9351
Fax(309) 655-7732
Sole ProprietorNo
Enumeration DateMay 3, 2024
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
✔ NPI 1073360376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ragavendar Saravanabavanandan's NPI number?

The NPI number for Ragavendar Saravanabavanandan is 1073360376. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Ragavendar Saravanabavanandan located?

Ragavendar Saravanabavanandan practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-9351.

What is Ragavendar Saravanabavanandan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ragavendar Saravanabavanandan was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.