Kanagala, Ravi
Kanagala, Ravi is an individual health care provider with primary practice located at 433 Plaza St Ste 514 , Bogalusa LA 70427-3729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kanagala, Ravi can be contacted via phone (985) 730-7023.Contact Information
Primary practice address
433 Plaza St Ste 514
Bogalusa LA 70427-3729
Phone: (985) 730-7023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 201805 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 201805 | Louisiana |
Profile Details
| NPI number | 1124009220 |
|---|---|
| LBN Legal business name | Kanagala, Ravi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jan 4th, 2022 - about 2 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 | 1124009220 | NPPES |
| Louisiana | MEDICAID | 1031569 | |
| Louisiana | MEDICAID | 04155584 |
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