Iyer, Ravi S
Iyer, Ravi S is an individual health care provider with primary practice located at 3579 Highway 138 Suite 103, Stockbridge GA 30281-4142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Iyer, Ravi S can be contacted via phone (678) 565-3300.Contact Information
Primary practice address
3579 Highway 138 Suite 103
Stockbridge GA 30281-4142
Phone: (678) 565-3300
Fax: (678) 565-3311
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 042292 | Georgia |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 042292 | Georgia |
Profile Details
NPI number | 1902806508 |
---|---|
LBN Legal business name | Iyer, Ravi S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2005 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902806508 | NPPES |
Other | 31222929007 | CIGNA | |
Other | 52012797-02 | CIGNA |
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