Mr. Ravinder Jerath
Gynecologist
2100 Central Ave Suite 7
Augusta
, Georgia 30904-6717
Mr. Ravinder Jerath
Gynecologist
2100 Central Ave Suite 7
Augusta
, Georgia 30904-6717
(706) 738-9922
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Mr. Ravinder Jerath
- 2100 Central Ave Suite 7
- Augusta, GA
- Zip : 30904-6717
- Fax : (706) 738-9922
- Phone : (706) 736-5378
Second Address
- Mr. Ravinder Jerath
- 2100 Central Ave Suite 7
- Augusta, GA
- Zip : 30904-6717
- Fax : (706) 738-9922
- Phone : (706) 736-5378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 19957 | GA |
National Provider Identifier
| NPI | 1013026830 |
|---|---|
| Provider Name | Mr. Ravinder Jerath |
| First Address | Augusta, GA 30904-6717 |
| Second Address | Augusta, GA 30904-6717 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 07/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00233901A | (05) | GA |
| 10048449 | AMERIGROUP (01) | GA |
| 19957 | STATE LICENSE (01) | GA |
| 342733 | WELLCARE MEDICAID (01) | GA |
| BJ0393114 | DEA NUMBER (01) | GA |
| D29872 | (02) | |
| G19957 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.