Individual
DR. RAVI SESHADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 E 3300 S, SALT LAKE CITY, UT 84106-2142
(801) 942-3951
(801) 942-3951
Mailing address
1021 E 3300 S, SALT LAKE CITY, UT 84106-2142
(801) 942-3951
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10989
VETERINARIAN
CA
Enumeration date
12/04/2017
Last updated
06/11/2019
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