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

Latha M. Ravichandran

Individual provider Family Medicine Physician · NPI 1902966443

Latha M. Ravichandran is a Family Practice in College Station, Texas. Qualified in 1995, 31 years ago. Practices with St Joseph Regional Health Center, a 140-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
31
Licensed in
TX
In the registry since
2006
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Practice location Address checks out

1602 Rock Prairie Rd Ste 2400
College Station, TX 77845-0001
Phone: (979) 693-2586
Fax: (979) 693-7327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M5460 (TX)

Record details

NPI number1902966443
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address1602 Rock Prairie Rd Ste 2400, College Station, TX 77845-0001

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice St Joseph Regional Health Center — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in College Station