Individual
RAVI P NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3660 VISTA AVE, SUITE 202, SAINT LOUIS, MO 63110-2540
(314) 977-6190
(314) 977-5123
Mailing address
1402 S GRAND BLVD, MC / SLUH / 7FDT, SAINT LOUIS, MO 63104-1004
(314) 577-8856
(314) 577-8859
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2000173750
MO
Other
Enumeration date
08/19/2006
Last updated
05/09/2011
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