Individual
RAVISHANKAR B. CHANNAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 RED BUG LAKE RD, OVIEDO, FL 32765-6801
(407) 890-2273
Mailing address
8300 RED BUG LAKE RD, OVIEDO, FL 32765-6801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
82031
MA
207P00000X
Emergency Medicine Physician
Primary
ME136641
FL
Other
Enumeration date
07/01/2006
Last updated
02/09/2023
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