P Praxis·MD
● Active Type 1 · Individual

Shruthi Ravikumar

Specialist/Technologist, Other·Lindale, TX· NPI 1679305015 · Enumerated 2024 · 1 years on NPI
Ravikumar is 1 of 11 specialist/technologist, other providers in Lindale and 1 of 1176 in Texas.
NPI age
1 years
Enumerated 2024-08-15
Primary specialty
Specialist/Technologist, Other
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1176 active specialist/technologist, other providers in Texas.

NPI age
1 years
↓ 8 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-08Enumerated in NPPES
2024 2026

Where they practice

Practice location
14983 Boaz Ln
Lindale, TX 757714801
📞 9728961843fax 2149192560
Mailing address
14983 Boaz Ln
Lindale, TX 757714801
📞 9728961843fax 2149192560

Specialties

  • Specialist/Technologist, Other Primary
    Definition to come...
    taxonomy 246ZE0600X

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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