Individual
SAJID AHMED RAVASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 W 8TH AVE, SUITE 450E, SPOKANE, WA 99204-2302
(509) 474-6920
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00045273
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8439689
—
WA
01
—
AB32999
MEDICARE GROUP
WA
Enumeration date
05/28/2006
Last updated
05/18/2021
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