Individual
DR. SHREYAS T RAVISHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
997 GLEN COVE AVE, GLEN HEAD, NY 11545-1593
(516) 248-5218
Mailing address
997 GLEN COVE AVE, GLEN HEAD, NY 11545-1593
(516) 248-5218
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
276917
NY
207RP1001X
Pulmonary Disease Physician
Primary
276917
NY
Other
Enumeration date
04/16/2009
Last updated
09/06/2015
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