Kanneganti, Ravikumar
Kanneganti, Ravikumar is an sole proprietor health care provider with primary practice located at 3250 Medical Center Dr , Beaumont TX 77701-4627. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kanneganti, Ravikumar can be contacted via phone (409) 813-1765.Contact Information
Primary practice address
3250 Medical Center Dr
Beaumont TX 77701-4627
Phone: (409) 813-1765
Fax: (409) 813-1875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | H6867 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | H6867 | Texas |
Profile Details
| NPI number | 1679643191 |
|---|---|
| LBN Legal business name | Kanneganti, Ravikumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jan 6th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679643191 | NPPES |
| Texas | MEDICAID | 114668001 |
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