Individual
DR. PUNNAIVANAM RAVISANKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6521
(606) 783-6904
Mailing address
2268 MANGOSIVE DRIVE, LEXINGTON, KY 40513
(859) 296-9105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39446
KY
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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