Individual
MR. NAVEEN PRASAD GOPALAKRISHNAN RAVIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 HOLTON AVE., SUITE 100, YAKIMA, WA 98902-3245
(509) 248-6292
(509) 248-9134
Mailing address
315 HOLTON AVE., SUITE 100, YAKIMA, WA 98902-3245
(509) 248-6292
(509) 248-9134
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD61207757
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
08/12/2022
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