Provider Demographics
NPI:1821877366
Name:RATHINAM, ARAVINDH (MD, M CH)
Entity type:Individual
Prefix:
First Name:ARAVINDH
Middle Name:
Last Name:RATHINAM
Suffix:
Gender:M
Credentials:MD, M CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4717 NW 7TH ST APT 809
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2250
Mailing Address - Country:US
Mailing Address - Phone:786-327-3281
Mailing Address - Fax:
Practice Address - Street 1:4420 SUN N LAKE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2164
Practice Address - Country:US
Practice Address - Phone:863-385-2248
Practice Address - Fax:863-382-1242
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME174084208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology