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NPI Code Detail

MEDICARE: MR. ADVAITH HONNAVALLI RAVISHANKAR M.B.B.S

MEDICARE:  MR. ADVAITH  HONNAVALLI RAVISHANKAR  M.B.B.S
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1841123528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADVAITH HONNAVALLI RAVISHANKAR M.B.B.S
Provider Business Mailing Address
First Line : 201 E UNIVERSITY PARKWAY
Second Line : DEPARTMENT OF INTERNAL MEDICINE, MEDSTAR UNION MEMORIAL
City : BALTIMORE
State : MD
Zip : 21218
Country : US
Telephone Number : 410-554-2284
Fax Number : 410-554-2184
Provider Business Practice Location Address
First Line : 201 E UNIVERSITY PARKWAY
Second Line : DEPARTMENT OF INTERNAL MEDICINE, MEDSTAR UNION MEMORIAL
City : BALTIMORE
State : MD
Zip : 21218
Country : US
Telephone Number : 410-554-2284
Fax Number : 410-554-2184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ MR. ADVAITH HONNAVALLI RAVISHANKAR M.B.B.S” Practice Location

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