Individual provider · Type 1 NPI

Shruthi Ravikumar

Electroneurodiagnostic Specialist/Technologist · Lindale, TX

NPI number 1679305015 Active

Practice location

14983 Boaz Ln
Lindale, TX 75771-4801

Fax (214) 919-2560

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1679305015

Shruthi Ravikumar's National Provider Identifier is 1679305015, issued on Aug 15, 2024. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Lindale, TX. The record was last updated on Aug 15, 2024.