Individual
RAVI VIJAY SHAMAIENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7544
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101056474
VA
2085R0202X
Diagnostic Radiology Physician
Primary
D96224
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7223170
—
VA
Enumeration date
08/11/2006
Last updated
09/05/2024
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