Individual provider · Type 1 NPI

Vidyashankar B. Revan, MD

Allergy & Immunology Physician · Wilmington, OH

NPI number 1194882571 Active

Practice location

110 Fairway Dr, Suite # 2
Wilmington, OH 45177-8756

Fax (937) 655-9139

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician Primary 207K00000X35080833 (OH)

Allergy & Immunology Physician: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…

Another provider at this address

About NPI 1194882571

Vidyashankar B. Revan, MD's National Provider Identifier is 1194882571, issued on Jan 3, 2007. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Wilmington, OH. The record was last updated on May 26, 2021.