Stark Primary Care, LLC

NPI #1851578249 in Canton, Ohio

Provider Information

NPI Number: 1851578249
Entity Type: Organization
Organization Name: Stark Primary Care, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 28, 2008
Last Updated: Sep 5, 2013

Practice Location

Address: 1455 HARRISON AVE NW
Address 2: SUITE 108
City: Canton
State: Ohio
ZIP Code: 44708-2621
Phone: (330) 455-4999

Authorized Official

Name: DR. VENKATESAN RAVISHANKAR, MD
Title: PRESIDENT
Phone: (330) 455-4999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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