Pavitra Ravishankar, MD - Surgery in Saint Louis, MO

Pavitra Ravishankar, MD is a Surgery - Vascular Surgery physician based in Saint Louis, Missouri. Pavitra Ravishankar is licensed to practice in Missouri (license number NA) and her current practice location is 1201 S Grand Blvd, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 257-8000.

NPI number for Pavitra Ravishankar is 1669121448 and her current mailing address is 34367 Mimosa Ter, Fremont, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669121448.

Contact Information

Pavitra Ravishankar, MD
1201 S Grand Blvd,
Saint Louis, MO 63104-1016
(314) 257-8000
Not Available

Map and Direction




Physician's Profile

Full NamePavitra Ravishankar
GenderFemale
SpecialitySurgery - Vascular Surgery
Location1201 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669121448
  • Provider Enumeration Date: 03/21/2022
  • Last Update Date: 03/21/2022

Medical Identifiers

Medical identifiers for Pavitra Ravishankar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669121448NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery NA (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pavitra Ravishankar is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pavitra Ravishankar, MD
34367 Mimosa Ter,
Fremont, CA 94555-1811

Ph: (510) 579-1119
Pavitra Ravishankar, MD
1201 S Grand Blvd,
Saint Louis, MO 63104-1016

Ph: (314) 257-8000

Reviews and Comments


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