Individual
PRATIMA RAMESH SHANBHAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVENUE, MAYERSON CENTER, CINCINNATI, OH 45229
(513) 636-7233
(407) 872-0544
Mailing address
3333 BURNET AVENUE, MLC 3008, CINCINNATI, OH 45229
(513) 803-1178
(513) 636-0204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.131142
OH
390200000X
Student in an Organized Health Care Education/Training Program
TRN20214
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/04/2014
Last updated
10/02/2020
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