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1669121448
PAVITRA RAVISHANKAR
SAINT LOUIS, MO
NPI
1669121448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: MO NA)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
PAVITRA RAVISHANKAR MD
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-257-8000
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Mailing Address
PAVITRA RAVISHANKAR MD
34367 MIMOSA TER
FREMONT, CA 94555-1811
Phone number: 510-579-1119
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