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Vidyashankar Revan, M.D
NPI 1194882571 · on the registry since 2007
Practice
- Address
- 110 Fairway Dr
Suite # 2
Wilmington, OH 45177 - Phone
- (937) 655-9179
- Fax
- (937) 655-9139
- Organisation at this address
- Allergy And Asthma Center, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207K00000X
207K00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio