Individual
RAVI DAVID YARID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2637 PEACHTREE PKWY, SUWANEE, GA 30024-1048
(314) 898-6188
Mailing address
725 MOUNT OGLETHORPE TRL, JOHNS CREEK, GA 30022-7105
(207) 907-9695
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
5101016264
MI
207Q00000X
Family Medicine Physician
5101016264
MI
207Q00000X
Family Medicine Physician
Primary
89309
GA
390200000X
Student in an Organized Health Care Education/Training Program
2013
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085300025
BCN
MI
Enumeration date
07/12/2007
Last updated
09/21/2023
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