Individual
SONAL SHAH RAVICHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 E MAIN ST, WESTFIELD, IN 46074-9440
(463) 234-6400
(463) 234-6401
Mailing address
PO BOX 843022, KANSAS CITY, MO 64184-3022
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01074219A
IN
207R00000X
Internal Medicine Physician
036-116777
IL
207R00000X
Internal Medicine Physician
2009013986
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201309770
—
IN
Enumeration date
02/06/2007
Last updated
04/23/2025
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