Kadam, Ravina V
Kadam, Ravina V is an individual health care provider with primary practice located at 300 Medical Dr Ste 704 , Lagrange GA 30240-4130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kadam, Ravina V can be contacted via phone (706) 880-7361.Contact Information
Primary practice address
300 Medical Dr Ste 704
Lagrange GA 30240-4130
Phone: (706) 880-7361
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28388 | Alabama |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2005037959 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 62902 | Georgia |
Profile Details
| NPI number | 1134183742 |
|---|---|
| LBN Legal business name | Kadam, Ravina V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Oct 7th, 2019 - about 6 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 | 1134183742 | NPPES |
| Missouri | Other | 202193 | BLUE SHIELD/BLUE CHOICE |
| Missouri | Other | 732685 | BLUE SHIELD/BLUE CHOICE |
| Missouri | Other | P00310560 | BLUE SHIELD/BLUE CHOICE |
| Missouri | MEDICAID | 200455004 | BLUE SHIELD/BLUE CHOICE |
Popular Providers
-
Smalls, Arnold
1602 Vernon Rd Ste 400, Lagrange GA 30240-4100 -
Griffin, Gary S
1600 Vernon Rd Suite G, Lagrange GA 30240-4143 -
Stout, Robert M
1602 Vernon Rd Ste 400, Lagrange GA 30240-4100 -
Ellis, Rosegenee Mclarin
1514 Vernon Rd , Lagrange GA 30240-4131 -
Olobatoke, Ariyo Oluwole
1551 Doctors Dr , Lagrange GA 30240-4139 -
Hallerbach, Marco
1514 Vernon Rd , Lagrange GA 30240-4131 -
Mcgowan, James P
Clark-Holder Clinic, P.A. 303 Smith Street, Lagrange GA 30240 -
Giesler, Garnett J.
303 Smith St Clark-Holder Clinic, P.A., Lagrange GA 30240-2745