Individual
SHRUTHI RAVIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14983 BOAZ LN, LINDALE, TX 75771-4801
(972) 896-1843
(214) 919-2560
Mailing address
14983 BOAZ LN, LINDALE, TX 75771-4801
(972) 896-1843
(214) 919-2560
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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