PAVITRA RAVISHANKAR MD
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1669121448- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1201 S GRAND BLVD, SAINT LOUIS, MO, 631041016
- Phone
- (314) 257-8000
Specialties & Taxonomies
Unknown
Primary License: MO #NA