Individual
SUBAHARI RAVISKANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
6560 FANNIN ST STE 450, HOUSTON, TX 77030-2735
(713) 441-8843
Mailing address
6560 FANNIN ST STE 450, HOUSTON, TX 77030-2735
(713) 441-8843
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
BP10073127
TX
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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