Individual provider · Type 1 NPI

Ravi Shankar Punukollu, MD

Student in an Organized Health Care Education/Training Program · Lebanon, NH

NPI number 1043472913 Active

Practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Call (603) 650-5000 Map

Other practice locations

  • 11100 Euclid Ave, Cleveland, OH 44106-1716 · (216) 844-3027

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043472913

Ravi Shankar Punukollu, MD's National Provider Identifier is 1043472913, issued on Jul 1, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, NH. The record was last updated on Mar 31, 2026.