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Organization
RAVI YADAVA, D.O. PC
Active
Organization
RAVI YADAVA, D.O. PC
Active
Other names
Performance Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI YADAVA D.O. (PHYSICIAN)
(314) 994-9355
Entity
Organization
Contact information
Practice address
675 OLD BALLAS RD, SUITE 210, SAINT LOUIS, MO 63141-7083
(314) 994-9355
(314) 994-0796
Mailing address
675 OLD BALLAS RD, SUITE 210, SAINT LOUIS, MO 63141-7083
(314) 994-9355
(314) 994-0796
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
104036
MO
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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