Individual
DR. RAVI S IYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3579 HIGHWAY 138, SUITE 103, STOCKBRIDGE, GA 30281-4142
(678) 565-3300
(678) 565-3311
Mailing address
3579 HIGHWAY 138, SUITE 103, STOCKBRIDGE, GA 30281-4142
(678) 565-3300
(678) 565-3311
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042292
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
042292
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31222929007
CIGNA
—
01
—
52012797-02
BCBS
GA
Enumeration date
07/26/2005
Last updated
09/11/2025
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