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Individual

DR. RAVISHANKAR SHIVASHANKAR

Active
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Individual

DR. RAVISHANKAR SHIVASHANKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
57.019086
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other

Enumeration date
09/16/2011
Last updated
02/07/2014
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