Edupuganti, Ravindra

Edupuganti, Ravindra is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 350, Marietta GA 30060-1155. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Edupuganti, Ravindra can be contacted via phone (770) 424-6893.

Contact Information

Primary practice address
55 Whitcher St Ne Suite 350 Marietta GA 30060-1155
Phone: (770) 424-6893
Fax: (678) 819-0357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 063858 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 063858 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 063858 Georgia

Profile Details

NPI number 1689651770
LBN Legal business name Edupuganti, Ravindra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Dec 18th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689651770 NPPES
Georgia MEDICAID 003110591J
Georgia MEDICAID 003110591L
Georgia MEDICAID 003110591M
Georgia MEDICAID 003110591H
Georgia MEDICAID 003110591C
Georgia MEDICAID 003110591I
Georgia MEDICAID 003110591F
Georgia MEDICAID 003110591K
Georgia MEDICAID 003110591D
Georgia MEDICAID 003110591E
Georgia MEDICAID 003110591G

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