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NPI Code Detail

MEDICARE: RAVI VENKATA KRISHNAN M.D.

MEDICARE:   RAVI VENKATA KRISHNAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35067533OH

General Provider Information

NPI Number : 1306836150
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAVI VENKATA KRISHNAN M.D.
Provider Business Mailing Address
First Line : PO BOX 952060
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0051
Country : US
Telephone Number : 855-449-1540
Fax Number : 440-672-5058
Provider Business Practice Location Address
First Line : 6559 WILSON MILLS RD
Second Line : SUITE106
City : MAYFIELD VILLAGE
State : OH
Zip : 44143-6402
Country : US
Telephone Number : 855-449-1540
Fax Number : 440-672-5058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 08/25/2025

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Directions to “ RAVI VENKATA KRISHNAN M.D.” Practice Location

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