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Organization

STARK PRIMARY CARE, LLC

Active
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Organization

STARK PRIMARY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VENKATESAN RAVISHANKAR MD (PRESIDENT)
(330) 455-4999
Entity
Organization

Contact information

Practice address
1455 HARRISON AVE NW, SUITE 108, CANTON, OH 44708-2621
(330) 455-4999
Mailing address
1455 HARRISON AVE NW, SUITE 108, CANTON, OH 44708-2621
(330) 455-4999

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35072622
OH

Other

Enumeration date
01/28/2008
Last updated
09/05/2013
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