Gogineni, Ravindra K
Gogineni, Ravindra K is an individual health care provider with primary practice located at 1021 Quarrier St Ste 301, Charleston WV 25301-2313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gogineni, Ravindra K can be contacted via phone (304) 343-4625.Contact Information
Primary practice address
1021 Quarrier St Ste 301
Charleston WV 25301-2313
Phone: (304) 343-4625
Fax: (304) 343-4626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 12675 | West Virginia |
Profile Details
| NPI number | 1144222324 |
|---|---|
| LBN Legal business name | Gogineni, Ravindra K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 7th, 2012 - about 12 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 | 1144222324 | NPPES |
| West Virginia | MEDICAID | 0123331000 | |
| West Virginia | Other | 001718792 |
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