Ravitskiy, Larisa

Ravitskiy, Larisa is an sole proprietor health care provider with primary practice located at 602 Morrison Rd , Gahanna OH 43230. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Ravitskiy, Larisa can be contacted via phone (614) 585-9900.

Contact Information

Primary practice address
602 Morrison Rd Gahanna OH 43230
Phone: (614) 585-9900
Fax: (614) 585-9999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 35092083 Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35092083 Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 41743 Arizona

Profile Details

NPI number 1144230905
LBN Legal business name Ravitskiy, Larisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Apr 7th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144230905 NPPES
Ohio MEDICAID 2901560

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