Vidyashankar B Revan, MD
Vidyashankar B Revan, MD is an Allergy/Immunology in Wilmington, Ohio. Qualified in 1987, 39 years ago. Practices with Psf PLLC, a 99-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 39
- Licensed in
- OH
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
110 Fairway Dr Ste # 2Wilmington, OH 45177-8756
Phone: (937) 655-9179
Fax: (937) 655-9139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Allergy & Immunology Physician (primary) | Taxonomy 207K00000X · Licence 35080833 (OH) |
|---|
Record details
| NPI number | 1194882571 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 3, 2007 |
| Last updated in NPPES | May 26, 2021 |
| Certification date | May 26, 2021 |
| Mailing address | 9800 Shelbyville Rd Ste 220, Louisville, KY 40223-2992 |
Medicare enrollment
| Medicare specialty | ALLERGY/IMMUNOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1987 (39 years in practice) |
| Group practice | Psf Pllc — 99 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |
Other providers in Wilmington
-
Allergy and Asthma Center, Inc
110 Fairway Dr Ste # 2, Wilmington, OH 45177-8756 · (937) 655-9179