Chennubhotla, Ramana Venkata
Chennubhotla, Ramana Venkata is an sole proprietor health care provider with primary practice located at 2410 Ring Rd Ste 500 , Elizabethtown KY 42701-7991. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Chennubhotla, Ramana Venkata can be contacted via phone (502) 559-3636.Contact Information
Primary practice address
2410 Ring Rd Ste 500
Elizabethtown KY 42701-7991
Phone: (502) 559-3636
Fax: (502) 769-0931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39338 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01051972A | Indiana |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 01051972A | Indiana |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 39338 | Kentucky |
Profile Details
| NPI number | 1366498339 |
|---|---|
| LBN Legal business name | Chennubhotla, Ramana Venkata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Aug 27th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366498339 | NPPES |
| Kentucky | MEDICAID | 64019722 | |
| Kentucky | Other | P00396051 |
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