Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nirshanthika Raviendren, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962077073

Dr. Nirshanthika Raviendren, MD is a Student in an Organized Health Care Education/Training Program in Scranton, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 S Washington Ave Ste 100
Scranton, PA 18505-3814
Phone: (570) 343-2383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1962077073
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2021
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022
Mailing address11 Lancefield Avenue, Scarborough, 112

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