Individual
MISS RAMA SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0048046
MD
207R00000X
Internal Medicine Physician
ME146207
FL
208M00000X
Hospitalist Physician
Primary
ME146207
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820650300
—
MD
Enumeration date
07/07/2005
Last updated
06/28/2024
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