Priya Dharshini Ravindran
Gastroenterologist
1350 Walton Way
Augusta
, Georgia 30901-2612
Priya Dharshini Ravindran
Gastroenterologist
1350 Walton Way
Augusta
, Georgia 30901-2612
(706) 774-7230
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Priya Dharshini Ravindran
- Po Box 1705
- Augusta, GA
- Zip : 30903-1705
- Fax : (706) 774-7230
- Phone : (706) 854-6008
Second Address
- Priya Dharshini Ravindran
- 1350 Walton Way
- Augusta, GA
- Zip : 30901-2612
- Fax : (706) 774-5792
- Phone : (706) 774-5795
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0100X | Gastroenterologist | 064449 | GA |
| Y | 207RG0100X | Gastroenterologist | 64449 | GA |
National Provider Identifier
| NPI | 1033167333 |
|---|---|
| Provider Name | Priya Dharshini Ravindran |
| First Address | Augusta, GA 30903-1705 |
| Second Address | Augusta, GA 30901-2612 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2006 |
| Last Update Date | 12/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003100276A | (05) | GA |
| I36751 | (02) |
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.