Individual
DR. RAVISHANKAR VEDANTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 REID PARKWAY, SUITE 100, CENTRAL INDIANA ORTHOPEDICS, PC, RICHMOND, IN 47374-1156
(765) 983-3373
(765) 983-3413
Mailing address
PO BOX 1643, CENTRAL INDIANA ORTHOPEDICS, PC, MUNCIE, IN 47308-1643
(765) 284-7738
(765) 284-4266
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01046839A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200138760
—
IN
05
—
2060719
—
OH
Enumeration date
02/22/2006
Last updated
08/06/2015
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