Jayanthi Ravisankar in Berea - Pediatrics

Jayanthi Ravisankar - NPI 1881671204

Jayanthi Ravisankar is a Pediatrics in Berea, Kentucky. Jayanthi Ravisankar practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jayanthi Ravisankar is 1881671204. The last update date is 2014-02-14.

Jayanthi Ravisankar's current location address is 104 Legacy Dr, Berea, Kentucky. You can contact this provider via phone number 8599862323 and fax number 8599867728. The mailing address for Jayanthi Ravisankar is 104 Legacy Dr, Berea, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jayanthi Ravisankar
Address 104 Legacy Dr, Berea, Kentucky
Phone Number 8599862323
Fax Number 8599867728
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1881671204
Provider Enumeration Date 2005-12-28
Last Updated Date 2014-02-14

Provider Mailing Address Detail

Address 104 Legacy Dr
City Berea
State Kentucky (KY)
Post Code 404039594
Phone Number 8599862323
Fax Number 8599867728

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 34558
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64354582 KY --

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FAQs about Jayanthi Ravisankar

What is the unique identifier code issued to Jayanthi Ravisankar by the Centers for Medicare & Medicaid Services (CMS)?

The Jayanthi Ravisankar has been assigned the NPI (National Provider Identifier) 1881671204. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jayanthi Ravisankar is physically located?

The Jayanthi Ravisankar is situated at the following address: 104 Legacy Dr, Berea, KY 404039594.

What is Jayanthi Ravisankar's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jayanthi Ravisankar's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Jayanthi Ravisankar receive the assignment of its 1881671204 from the Centers for Medicare & Medicaid Services?

The Jayanthi Ravisankar was issued its 1881671204 by the Centers for Medicare & Medicaid Services on 2005-12-28.

When was the Jayanthi Ravisankar's information last updated?

The Jayanthi Ravisankar's information was last updated on 2014-02-14.

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