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Individual

DR. JEEVAN B RAMAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4600 LAKE BOONE TRL, SUITE 100, RALEIGH, NC 27607-7501
(919) 787-1374
Mailing address
4600 LAKE BOONE TRL, RALEIGH, NC 27607-7528
(919) 787-1374
(919) 571-8135

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2010-00316
NC

Other

Enumeration date
06/27/2007
Last updated
07/12/2021
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