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Organization

T.RAVISHANKAR MD PC

Active
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Organization

T.RAVISHANKAR MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. T RAVISHANKAR MD PC (PRESIDENT)
(516) 674-9144
Entity
Organization

Contact information

Practice address
997 GLEN COVE AVE, GLEN HEAD, NY 11545-1593
(516) 674-9144
(516) 674-4024
Mailing address
997 GLEN COVE AVE, GLEN HEAD, NY 11545-1593
(516) 674-9144
(516) 674-4024

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
125628
NY

Other

Enumeration date
12/15/2006
Last updated
05/11/2009
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