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Individual

DR. JAYASHREE RAVISHANKAR

Active
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Individual

DR. JAYASHREE RAVISHANKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
0101251651
VA
207RI0200X
Infectious Disease Physician
Primary
201901489
NC
207RI0200X
Infectious Disease Physician
232767-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02219074
NY
01
C06778
GROUP PTAN
VA
Enumeration date
09/13/2005
Last updated
09/20/2021
Update your record

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