Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Remya Tharackal-Ravindran, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639476690

Dr. Remya Tharackal-Ravindran, MD is an Internal Medicine in Brockton, Massachusetts. Qualified in 2004, 22 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
22
Licensed in
MA
In the registry since
2011
Specialties on file
2
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

110 Liberty St
Brockton, MA 02301-5521
Phone: (508) 894-0400
Fax: (508) 894-0412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 254255 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639476690
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 26, 2011
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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