Organization Active NPI

Ravid Avraham PLLC

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1699185371
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P5928 Issued in TX
Legal business name
RAVID AVRAHAM PLLC
Practice address
2828 Lemmon Ave
Apt 4154
Dallas, TX 75204-3706
Phone
(940) 284-3884
Fax
(877) 442-9313
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ravid Avraham, MDNPI 1942527601
Title
Owner
Phone
(718) 213-6543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X P5928 TX Primary

Addresses

Primary practice location

2828 Lemmon Ave
Apt 4154
Dallas, TX 75204-3706

Mailing address

2828 Lemmon Ave
Apt 4154
Dallas, TX 75204-3706
Phone (940) 284-3884

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1699185371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 LEMMON AVE",
            "address_2": "APT 4154",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043706",
            "telephone_number": "940-284-3884",
            "fax_number": "877-442-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 LEMMON AVE",
            "address_2": "APT 4154",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043706",
            "telephone_number": "940-284-3884",
            "fax_number": "877-442-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVID AVRAHAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "AVRAHAM",
        "authorized_official_first_name": "RAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-213-6543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P5928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.