Lakkaraju, Ravi Kiran

Lakkaraju, Ravi Kiran is an sole proprietor health care provider with primary practice located at 3190 E Midland Rd , Bay City MI 48706-2755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Lakkaraju, Ravi Kiran can be contacted via phone (989) 667-6650.

Contact Information

Primary practice address
3190 E Midland Rd Bay City MI 48706-2755
Fax: (989) 667-6660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X RL077577 Michigan

Profile Details

NPI number 1790775195
LBN Legal business name Lakkaraju, Ravi Kiran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2005
Last updated Jan 25th, 2010 - about 15 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 1790775195 NPPES
Michigan Other RL077577 STATE LICENSE
Michigan MEDICAID 4442940 STATE LICENSE

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