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Individual

RAVITHARAN KRISHNADASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3838 N CAMPBELL AVE, TUCSON, AZ 85719-1478
(520) 694-2873
(520) 694-1820
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85756-7124
(520) 874-3500

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
12173
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
380225
AZ
05
RK68305
RI
Enumeration date
07/30/2006
Last updated
01/23/2009
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