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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