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

Ravi R Salickram, RPA

Individual provider Medical Physician Assistant · NPI 1508992017

Ravi R Salickram, RPA is a Medical Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

554 Tompkins Ave
Staten Island, NY 10305-1745
Phone: (347) 855-7284
Fax: (631) 883-8496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012971 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence P54318 (NY)

Record details

NPI number1508992017
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

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