Individual
DR. RAVI S JOHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 DUNN RD, SUITE 150, HAZELWOOD, MO 63042-1751
(314) 801-5300
(314) 801-5320
Mailing address
755 DUNN RD, SUITE 150, HAZELWOOD, MO 63042-1751
(314) 801-5300
(314) 801-5320
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
102938
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144294604
—
MO
01
—
P00033609
RAILROAD MEDICARE
MO
01
—
P01137606
RAILROAD MEDICARE
MO
Enumeration date
02/13/2006
Last updated
01/21/2015
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