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
Phone: (989) 667-6650
Fax: (989) 667-6660
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790775195 | NPPES |
Michigan | Other | RL077577 | STATE LICENSE |
Michigan | MEDICAID | 4442940 | STATE LICENSE |
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