Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAVI YADAVA, D.O.
Deactivated Sole ProprietorRAVI YADAVA, D.O. is a Sports Medicine (PM&R) healthcare provider located in SAINT LOUIS, Missouri. NPI 1144214065 is deactivated in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · SAINT LOUIS, MO
This NPI has been deactivated.
The record was deactivated on March 25, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1144214065
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2005 (0.54520547945205 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 25, 2006
- License
-
104036 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
675 OLD BALLAS RDSUITE 210SAINT LOUIS, MO, 631417083Browse MO providers · Browse ZIP 63141
- Phone
- 3149949355
- Fax
- 3149940796
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| BRYAN BENGSTON | — | 1073166864 |
| ANDREW TANOUS | — | 1508549361 |
| JULIE SCHLOSS | PT | 1508637596 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.