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Individual

RAVEEN SHENOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
# MA101, 1 HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(572) 882-8885
Mailing address
# MA101, 1 HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(572) 882-8885

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013026040
MO
207R00000X
Internal Medicine Physician
2010024122
MO

Other

Enumeration date
08/20/2010
Last updated
04/07/2017
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