Individual
RAVI K MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S MAIN ST, TIPTON, IN 46072-9753
(765) 675-8500
(765) 675-8500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01058984A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200489120
—
IN
Enumeration date
06/08/2006
Last updated
03/17/2025
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