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Dr. Nagamanikkam Ravichandran, MD, MBA, FACP

Specializes in: Internal Medicine (Adult Medicine), Hospital Medicine (Hospitalist) and Pediatrics (Child & Adolescent Medicine)
Madras Medical College (1982 - 1988)
2300 Park Avenue Suite 205
Orange Park, FL 32073

Dr. Nagamanikkam Ravichandran, MD, MBA, FACP is an internist in Jacksonville, FL specializing in internal medicine (adult medicine), hospital medicine (hospitalist) and pediatrics (child & adolescent medicine). He graduated from Madras Medical College in 1988 and has 37 years of experience. Dr. Nagamanikkam Ravichandran, MD, MBA, FACP is affiliated with Optum, Ascension, ST VINCENT'S AMBULATORY CARE INC, Ascension St. Vincent's Southside Hospital, Ascension St. Vincent's Riverside Hospital, Ascension St. Vincent's Clay County Hospital, HNI MEDICAL SERVICES OF FLORIDA, LLC and Optum Florida.

View Doctor's Full Profile (904) 272-0384

Office Locations

10503 San Jose Boulevard
Jacksonville, FL 32257
open_in_new

Optum Florida

2300 Park Avenue Suite 205
Orange Park, FL 32073
(904) 272-0384
open_in_new
3 Shircliff Way Suite 525
Jacksonville, FL 32204
(904) 389-3770
(904) 389-3703
open_in_new
2332 Riverside Avenue
Jacksonville, FL 32204
(904) 450-8720
(904) 450-8729
open_in_new

Noteworthy Medicare Patient Procedures Performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

finger stick glucose test

By Affordability:

blood glucose self-monitoring
blood glucose tests
finger stick glucose test
glucose monitoring
glucose tests

In 2023, among providers in related specialties within Florida, Dr. Nagamanikkam Ravichandran, MD, MBA, FACP performed more finger stick glucose test procedures for Medicare patients than 95% of them and he also had a list price for blood glucose self-monitoring, blood glucose tests, finger stick glucose test, glucose monitoring, and glucose tests that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

flu shot

By Affordability:

hospital care
inpatient care
inpatient hospital care

In 2023, among providers in related specialties within Florida, Dr. Nagamanikkam Ravichandran, MD, MBA, FACP performed more flu shot procedures for Medicare patients than 90% of them and he also had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

preventive care

In 2013, Dr. Nagamanikkam Ravichandran, MD, MBA, FACP performed more preventive care procedures for Medicare patients than 75% of providers in related specialties within Florida.

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2013 were hospital care, inpatient care, nursing home care and outpatient care.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

doctor visit 614
hospital care 2063
inpatient care 2016
nursing home care 233
outpatient care 47
preventive care 32
vaccines 32

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 852
Female 1143
Ethnicity
Non-Hispanic White 1411
Black 495
Hispanic 42
Asian 26
Other 21
Native American 0
Age
From 65 to 74 662
From 75 to 84 581
85 and over 373
Less than 65 379

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2013

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2013 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension 75
High Cholesterol 71
Stroke 16
Ischemic Heart Disease 61
Depression 33
Chronic Kidney Disease 49
Asthma 13
Osteoperosis 10
Atrial Fibrilation 24
Heart Failure 44
Chronic Obstructive Pulmonary Disease 34
Diabetes 52
Dementia 26
Cancer 15

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2014 were hospital care, inpatient care, preventive care and vaccines.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

doctor visit 531
hospital care 1878
inpatient care 1839
outpatient care 39
preventive care 112
vaccines 112

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 831
Female 1102
Ethnicity
Non-Hispanic White 1360
Black 490
Hispanic 29
Asian 33
Other 21
Native American 0
Age
From 65 to 74 631
From 75 to 84 525
85 and over 371
Less than 65 406

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2014

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2014 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension 75
High Cholesterol 73
Stroke 16
Ischemic Heart Disease 62
Depression 34
Chronic Kidney Disease 50
Asthma 16
Osteoperosis 8
Atrial Fibrilation 24
Heart Failure 40
Chronic Obstructive Pulmonary Disease 32
Diabetes 53
Dementia 24
Cancer 16

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2015 were hospital care, inpatient care, preventive care and vaccines.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

doctor visit 470
hospital care 1774
inpatient care 1761
outpatient care 13
preventive care 56
vaccines 56

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 1518
Female 1916
Ethnicity
Non-Hispanic White 2440
Black 838
Hispanic 76
Asian 52
Other 28
Native American 0
Age
From 65 to 74 1168
From 75 to 84 1034
85 and over 624
Less than 65 608

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2015

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2015 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 74
Stroke 17
Ischemic Heart Disease 60
Depression 35
Chronic Kidney Disease 54
Asthma 27
Osteoperosis 10
Atrial Fibrilation 28
Heart Failure 43
Chronic Obstructive Pulmonary Disease 36
Diabetes 53
Dementia 24
Cancer 18

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2016 were hospital care, inpatient care, preventive care and vaccines.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

doctor visit 546
hospital care 2064
inpatient care 2020
outpatient care 44
preventive care 50
vaccines 50

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 694
Female 933
Ethnicity
Non-Hispanic White 1208
Black 334
Hispanic 36
Asian 0
Other 25
Native American 0
Age
From 65 to 74 525
From 75 to 84 481
85 and over 353
Less than 65 268

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2016

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2016 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 73
Stroke 15
Ischemic Heart Disease 62
Depression 34
Chronic Kidney Disease 60
Asthma 37
Osteoperosis 9
Atrial Fibrilation 28
Heart Failure 43
Chronic Obstructive Pulmonary Disease 34
Diabetes 54
Dementia 27
Cancer 18

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2017 were hospital care, inpatient care and outpatient care.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

doctor visit 433
hospital care 1533
inpatient care 1455
outpatient care 78

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 493
Female 683
Ethnicity
Non-Hispanic White 863
Black 271
Hispanic 20
Asian 0
Other 0
Native American 0
Age
From 65 to 74 360
From 75 to 84 380
85 and over 255
Less than 65 181

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2017

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2017 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 71
Stroke 16
Ischemic Heart Disease 70
Depression 38
Chronic Kidney Disease 64
Asthma 13
Osteoperosis 12
Atrial Fibrilation 29
Heart Failure 45
Chronic Obstructive Pulmonary Disease 36
Diabetes 56
Dementia 29
Cancer 18

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2018 were hospital care, inpatient care, outpatient care and preventive care.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

doctor visit 372
hospital care 1174
inpatient care 1098
lab tests 17
outpatient care 76
preventive care 25
vaccines 25

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 448
Female 525
Ethnicity
Non-Hispanic White 742
Black 179
Hispanic 20
Asian 13
Other 19
Native American 0
Age
From 65 to 74 316
From 75 to 84 300
85 and over 178
Less than 65 179

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2018

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2018 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 74
Stroke 18
Ischemic Heart Disease 68
Depression 42
Chronic Kidney Disease 67
Asthma 13
Osteoperosis 9
Atrial Fibrilation 31
Heart Failure 51
Chronic Obstructive Pulmonary Disease 38
Diabetes 60
Dementia 30
Cancer 17

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2019 were hospital care, inpatient care, outpatient care and preventive care.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

doctor visit 447
hospital care 959
inpatient care 878
outpatient care 81
preventive care 20
vaccines 20

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 402
Female 534
Ethnicity
Non-Hispanic White 736
Black 149
Hispanic 16
Asian 19
Other 16
Native American 0
Age
From 65 to 74 311
From 75 to 84 315
85 and over 188
Less than 65 122

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2019

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2019 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 74
Stroke 14
Ischemic Heart Disease 65
Depression 37
Chronic Kidney Disease 64
Asthma 13
Osteoperosis 11
Atrial Fibrilation 32
Heart Failure 48
Chronic Obstructive Pulmonary Disease 34
Diabetes 53
Dementia 26
Cancer 17

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2020 were hospital care, inpatient care, preventive care and vaccines.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

diabetes management 27
doctor visit 375
hospital care 259
inpatient care 246
lab tests 27
outpatient care 13
preventive care 78
vaccines 66

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 178
Female 215
Ethnicity
Non-Hispanic White 293
Black 82
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 114
From 75 to 84 145
85 and over 71
Less than 65 63

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2020

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2020 were high cholesterol, hypertension, chronic kidney disease and ischemic heart disease.

Hypertension 75
High Cholesterol 75
Stroke 14
Ischemic Heart Disease 61
Depression 37
Chronic Kidney Disease 66
Asthma 14
Osteoperosis 11
Atrial Fibrilation 25
Heart Failure 45
Chronic Obstructive Pulmonary Disease 29
Diabetes 52
Dementia 29
Cancer 14

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2021 were hospital care, inpatient care, preventive care and lab tests.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

diabetes management 40
doctor visit 308
hospital care 165
inpatient care 152
lab tests 40
outpatient care 13
preventive care 42
vaccines 25

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 212
Female 233
Ethnicity
Non-Hispanic White 314
Black 100
Hispanic 13
Asian 0
Other 0
Native American 0
Age
From 65 to 74 147
From 75 to 84 148
85 and over 87
Less than 65 63

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2021

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2021 were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 75
Stroke 12
Ischemic Heart Disease 67
Depression 35
Chronic Kidney Disease 64
Asthma 13
Osteoperosis 11
Atrial Fibrilation 30
Heart Failure 44
Chronic Obstructive Pulmonary Disease 29
Diabetes 52
Dementia 23
Cancer 13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2022 were hospital care, inpatient care, preventive care and vaccines.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

diabetes management 63
doctor visit 782
hospital care 168
inpatient care 168
lab tests 63
preventive care 166
vaccines 126

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 347
Female 413
Ethnicity
Non-Hispanic White 596
Black 106
Hispanic 23
Asian 0
Other 21
Native American 0
Age
From 65 to 74 282
From 75 to 84 283
85 and over 136
Less than 65 59

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2022

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2022 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension 75
High Cholesterol 75
Stroke 16
Ischemic Heart Disease 48
Depression 29
Chronic Kidney Disease 38
Asthma 13
Osteoperosis 23
Atrial Fibrilation 34
Heart Failure 31
Chronic Obstructive Pulmonary Disease 31
Diabetes 48
Dementia 14
Cancer 18

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL during 2023 were preventive care, vaccines, hospital care and inpatient care.

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

diabetes management 66
doctor visit 1272
hospital care 92
inpatient care 92
lab tests 82
preventive care 162
vaccines 129

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 242
Female 317
Ethnicity
Non-Hispanic White 451
Black 51
Hispanic 20
Asian 14
Other 23
Native American 0
Age
From 65 to 74 225
From 75 to 84 216
85 and over 98
Less than 65 20

Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP in 2023

The most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated during 2023 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension 75
High Cholesterol 75
Stroke 12
Ischemic Heart Disease 38
Depression 25
Chronic Kidney Disease 32
Asthma 11
Osteoperosis 21
Atrial Fibrilation 29
Heart Failure 24
Chronic Obstructive Pulmonary Disease 29
Diabetes 42
Dementia 11
Cancer 20

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2023

Volume of procedures performed by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP for Medicare patients.

The highest averages for the top procedures that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated as an internist in Jacksonville, FL were hospital care, inpatient care, nursing home care and preventive care.

diabetes management 49
doctor visit 559
hospital care 1102
inpatient care 1065
lab tests 45
nursing home care 233
outpatient care 44
preventive care 74
vaccines 64

Average Medicare Patient Data From 2013 - 2023

Information about Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP.

Gender
Male 565
Female 728
Ethnicity
Black / African American 281
Asian / Pacific Islander 14
Non-Hispanic White 946
Native American / Alaskan Native 0
Hispanic 26
Other 15
Age
75 to 84 400
85 and over 248
Less than 65 213
65 to 74 431

Average of Total of Conditions of Medicare patients treated by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP From 2013 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Nagamanikkam Ravichandran, MD, MBA, FACP treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension 75
High Cholesterol 73
Stroke 15
Ischemic Heart Disease 60
Depression 34
Chronic Kidney Disease 55
Asthma 16
Osteoporosis 12
Heart Failure 41
Chronic Obstructive Pulmonary Disease 32
Diabetes 52
Atrial Fibrillation 28
Cancer 16
Dementia 23

Education & Training

Dr. Nagamanikkam Ravichandran, MD, MBA, FACP graduated from Madras Medical College in 1988. He completed residency at Elmhurst Hospital Center. He is certified by the The American Board of Internal Medicine - Internal Medicine and has a state license in Florida.

Medical School: Madras Medical College (1988)

Residency: Elmhurst Hospital Center

Board Certification: The American Board of Internal Medicine - Internal Medicine

Licensed In: Florida

Affiliations & Hospitals

Dr. Nagamanikkam Ravichandran, MD, MBA, FACP is associated with these hospitals and organizations:

Optum
Ascension
ST VINCENT'S AMBULATORY CARE INC
Ascension St. Vincent's Southside Hospital
Ascension St. Vincent's Riverside Hospital
Ascension St. Vincent's Clay County Hospital
HNI MEDICAL SERVICES OF FLORIDA, LLC
Optum Florida

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Nagamanikkam Ravichandran, MD, MBA, FACP appears to accept the following insurance providers: United (00040072165).

Insurance Accepted by Provider includes:

According to our sources, Dr. Nagamanikkam Ravichandran, MD, MBA, FACP accepts the following insurance providers:

United (00040072165)

Ratings & Reviews

Dr. Nagamanikkam Ravichandran, MD, MBA, FACP has an exceptional overall rating with an average of 4.8 out of 5 stars based on 687 ratings. We collect ratings and reviews of Dr. Nagamanikkam Ravichandran, MD, MBA, FACP from all over the web to help you find the right in Jacksonville, FL. 

4.8
Overall Rating
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General Payments

These charts describe general payments received by Dr. Nagamanikkam Ravichandran, MD, MBA, FACP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Inspire Medical Systems, Inc. $125 Inspire Upper Airway Stimulation System
$125
GlaxoSmithKline, LLC. $119 BREO
$63 		INCRUSE
$21 		ANORO
$19 		LEVITRA
$16
Novo Nordisk Inc $93 Victoza
$31 		Tresiba
$30 		Ozempic
$18 		RYBELSUS
$15
Covidien LP $90 Bravo
$90
Novartis Pharmaceuticals Corporation $87 ENTRESTO
$87
Other $674 ELIQUIS
$99 		Edwards SAPIEN 3 Transcatheter Heart Valve
$60 		GENERAL - VASCULAR INTERVENTION
$60 		XARELTO
$52 		DIFICID
$51 		Other
$352
Types of Payments
Food and Beverage $1,175
Education $14

Biography

Dr. Nagamanikka Ravichandran's specialties are general practice and hospital medicine (hospitalist). Dr. Ravichandran graduated from Madras Medical College and then he performed his residency at Elmhurst Hospital Center. His average rating from his patients is 5.0 stars (out of 5). Dr. Ravichandran (or staff) speaks the following languages: Kannada, Tamil, and Hindi. He is professionally affiliated with Ascension.

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