Individual
RAVI YADAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
104036
MO
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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