Individual
RISHAB REVANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 LEE ST BOX 800718, CHARLOTTESVILLE, VA 22908-0001
(336) 688-7749
Mailing address
1215 LEE ST BOX 800718, CHARLOTTESVILLE, VA 22908-0001
(336) 688-7749
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
06/16/2025
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