Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shyam Kumar Ravisankar, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700142239

Dr. Shyam Kumar Ravisankar, MD is a Student in an Organized Health Care Education/Training Program in Livingston, New Jersey. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone: (973) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1700142239
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 10, 2012
Mailing address94 Old Short Hills Rd, Livingston, NJ 07039-5672

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