Individual
SRIKANTH SANKAR RAVISANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS PEDIATRICS, GREENVILLE, NC 27834-4300
(252) 744-2335
(252) 744-0392
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2015-01467
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225267594
—
NC
01
—
19DQX
BCBS NC
NC
Enumeration date
07/08/2009
Last updated
03/14/2016
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