THARAKARAM RAVISHANKAR

GLEN HEAD, NY
NPI1083709794
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: NY  125628)
Enumeration Date2006-10-04
Last Update Date2010-07-26
Business Address
Dr. THARAKARAM RAVISHANKAR MD FACE
997 GLEN COVE AVE
GLEN HEAD, NY 11545-1593
Phone number: 516-674-9144
Mailing Address
Dr. THARAKARAM RAVISHANKAR MD FACE
997 GLEN COVE AVE
GLEN HEAD, NY 11545-1593
Phone number: 516-674-9144