person
Indira Ravishankar, MD
General Practice Physician in Totowa, New Jersey
NPI 1962441873

Indira Ravishankar is a General Practice Physician based in Warren, NJ. Indira Ravishankar practices in Totowa, NJ and has the professional credentials of MD. The NPI Number for Indira Ravishankar is 1962441873 and holds a License No. MA3665600 (New Jersey).

The current practice location address for Indira Ravishankar is 169 Minnisink Rd, Totowa, NJ and can be reached out via phone at 973-256-1700 and via fax at 973-890-4574.

Location: 169 Minnisink Rd, Totowa, NJ, 07059-5639
person
Provider Profile Details
NPI Number
1962441873
Provider Name
Indira Ravishankar
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
169 Minnisink Rd, Totowa, NJ, 07059-5639
Phone Number
973-256-1700
Fax Number
973-890-4574
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
834563B1J 01 NJ MEDICARE BILLING
4499701 05 NJ
institution
Provider Business Practice Location Address Details
Address
169 Minnisink Rd
City
State
Zip
07512-1803
Phone Number
973-256-1700
Fax Number
973-890-4574
person
Provider Business Mailing Address Details
Address
169 Minnisink Rd
City
State
Zip
07512-1803
Phone Number
973-256-1700
Fax Number
973-890-4574
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MA3665600 (New Jersey)
Definition
Definition to come...
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