Individual
DR. RAVI VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 263-6180
(608) 890-6276
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
52208
WI
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
52208
WI
2080P0201X
Pediatric Allergy/Immunology Physician
52208
WI
Other
Enumeration date
06/22/2006
Last updated
10/26/2021
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