VIDYASHANKAR B REVAN

WILMINGTON, OH
NPI1194882571
Former NameVIDYASHANKAR B REVANNASIDDAPPA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: OH  35080833)
Enumeration Date2007-01-03
Last Update Date2021-05-26
Business Address
VIDYASHANKAR B REVAN M.D
110 FAIRWAY DR SUITE # 2
WILMINGTON, OH 45177-8756
Phone number: 937-655-9179
Mailing Address
VIDYASHANKAR B REVAN M.D
9800 SHELBYVILLE RD STE 220
LOUISVILLE, KY 40223-2992
Phone number: 502-429-8585
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