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Individual

RAVI SHANKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
245 FOUNTAIN CT STE 225, LEXINGTON, KY 40509-2794
(859) 323-6021
(859) 323-1670
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2014002057
MO
2084P0800X
Psychiatry Physician
59017
KY
2084P0804X
Child & Adolescent Psychiatry Physician
2014002057
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
59017
KY

Other

Enumeration date
05/07/2009
Last updated
07/23/2024
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