Revankar, Rajan Ramesh

Revankar, Rajan Ramesh is an individual health care provider with primary practice located at 2630 Willard Dairy Rd Ste 301 , High Point NC 27265-8354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Revankar, Rajan Ramesh can be contacted via phone (336) 884-3720.

Contact Information

Primary practice address
2630 Willard Dairy Rd Ste 301 High Point NC 27265-8354
Phone: (336) 884-3720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9900659 North Carolina

Profile Details

NPI number 1508915307
LBN Legal business name Revankar, Rajan Ramesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 25th, 2021 - about 5 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 1508915307 NPPES
North Carolina Other P00655198 RR MEDICARE
North Carolina MEDICAID 8912054 RR MEDICARE

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