Individual
DR. SHALINI RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5333 DOUGLAS AVE, RACINE, WI 53402-2032
(262) 752-2100
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
62885
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041611
—
WI
Enumeration date
07/03/2013
Last updated
01/09/2024
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