Individual
DR. RAVISHANKER R DAMMANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 OLD MILTON PKWY STE 400, ALPHARETTA, GA 30005-4437
(770) 391-3979
(770) 391-0020
Mailing address
3333 OLD MILTON PKWY STE 400, ALPHARETTA, GA 30005-4437
(770) 391-3979
(770) 391-0020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
058663
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058663
GEORGIA COMPOSITE BOARD OF MEDICAL EXAMINERS
GA
05
—
072558589A
—
GA
Enumeration date
08/20/2006
Last updated
03/07/2023
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