Most Relevant Information
Provider Data
| NPI Number: | 1003482621 |
| Provider Name: | DARIA RAVANGARD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 12850 |
Most Important Dates
| Enumeration Date: | 06/03/2021 |
| Last Updated: | 10/21/2024 |
Provider Practice Location
52 W 8TH ST
NEW YORK
NY
100119092
Practice Location Phone/Fax
| Phone: | 2124664848 |
| Fax: | 2124664855 |
Provider Mailing Location
52 W 8TH ST
NEW YORK
NY
100119092
Provider Mailing Phone/Fax
| Phone: | 2124664848 |
| Fax: | 2124664855 |
Suggested EMR
Family Practice EMR