Individual
VENKAT RAMANAN SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 443-1341
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
30913
TN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD056924L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3133213
BCBS
—
05
—
3897768
—
TN
Enumeration date
09/15/2006
Last updated
05/19/2023
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