Dr. Kempsagar C Ravishankar
Sports Medicine Doctor
7215 Old Oak Blvd Ste A411
Cleveland
, Ohio 44130-3334
Dr. Kempsagar C Ravishankar
Sports Medicine Doctor
7215 Old Oak Blvd Ste A411
Cleveland
, Ohio 44130-3334
(440) 816-5399
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Kempsagar C Ravishankar
- 7215 Old Oak Blvd Ste A411
- Cleveland, OH
- Zip : 44130-3334
- Fax : (440) 816-5399
- Phone : (440) 826-9221
Second Address
- Dr. Kempsagar C Ravishankar
- 7215 Old Oak Blvd Ste A411
- Cleveland, OH
- Zip : 44130-3334
- Fax : (440) 816-5399
- Phone : (440) 826-9221
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 35-068631 | OH |
National Provider Identifier
| NPI | 1275622128 |
|---|---|
| Provider Name | Dr. Kempsagar C Ravishankar |
| First Address | Cleveland, OH 44130-3334 |
| Second Address | Cleveland, OH 44130-3334 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 28/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0500150 | UNITED HEALTH CARE INS (01) | OH |
| 0946169 | (05) | OH |
| 108691 | KAISER INS (01) | OH |
| 1579165 | CIGNA (01) | OH |
| 203918 | ANTHEM (01) | OH |
| 53284 | QUAL CHOICE INS (01) | OH |
| 7543555 | AETNA INS (01) | OH |
| F29053 | (02) | OH |
| P00036566 | MEDICARE RAILROAD (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.