Individual
LEELMOHAN RAVIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
998 S DORSET RD STE 301, TROY, OH 45373-4748
(937) 339-9865
(937) 339-6668
Mailing address
PO BOX 600, WILMINGTON, OH 45177-0600
(937) 283-9699
(937) 283-9839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.122051
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091133
—
OH
Enumeration date
09/28/2010
Last updated
07/21/2022
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