Individual
DR. RAMA SHANKAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5579
(815) 285-5584
Mailing address
700 W VIRGINIA ST, STE 305, MILWAUKEE, WI 53204-1549
(414) 359-5740
(866) 842-7257
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-095468
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095468
—
IL
Enumeration date
03/10/2006
Last updated
05/10/2018
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