Kudumula, Ravi

Kudumula, Ravi is an individual health care provider with primary practice located at 11115 Parkview Plaza Dr , Fort Wayne IN 46845-1701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Kudumula, Ravi can be contacted via phone (260) 672-6400.

Contact Information

Primary practice address
11115 Parkview Plaza Dr Fort Wayne IN 46845-1701
Phone: (260) 672-6400
Fax: (260) 672-6459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43609 Tennessee
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 43609 Tennessee
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01075277A Indiana

Profile Details

NPI number 1225250129
LBN Legal business name Kudumula, Ravi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jan 4th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225250129 NPPES
Tennessee MEDICAID Q001555

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