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1255361242
PUNNAIVANAM RAVISANKAR
MOREHEAD, KY
NPI
1255361242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 39446)
Enumeration Date
2006-07-04
Last Update Date
2007-07-08
Business Address
Dr. PUNNAIVANAM RAVISANKAR M.D.
222 MEDICAL CIR
MOREHEAD, KY 40351-1179
Phone number: 606-783-6521
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Mailing Address
Dr. PUNNAIVANAM RAVISANKAR M.D.
2268 MANGOSIVE DRIVE
LEXINGTON, KY 40513
Phone number: 859-296-9105
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