Ravisankar, Jayanthi

Ravisankar, Jayanthi is an individual health care provider with primary practice located at 104 Legacy Dr , Berea KY 40403-9594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ravisankar, Jayanthi can be contacted via phone (859) 986-2323.

Contact Information

Primary practice address
104 Legacy Dr Berea KY 40403-9594
Phone: (859) 986-2323
Fax: (859) 986-7728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34558 Kentucky

Profile Details

NPI number 1881671204
LBN Legal business name Ravisankar, Jayanthi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Feb 14th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881671204 NPPES
Kentucky MEDICAID 64354582

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