Individual
SHILPA B RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1205 PROVIDENT DR, SUITE A, WARSAW, IN 46580-3265
(574) 269-8383
(574) 269-8384
Mailing address
1205 PROVIDENT DR, SUITE A, WARSAW, IN 46580-3265
(574) 269-8383
(574) 269-8384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200539520
—
IN
Enumeration date
06/10/2006
Last updated
05/27/2014
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