Ravikumar Kanneganti Md Pa

LBN: Ravikumar Kanneganti Md Pa
Ravikumar Kanneganti Md Pa is an health care organization with primary practice located at 3250 Medical Center Dr , Beaumont TX 77701-4627. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ravikumar Kanneganti Md Pa can be contacted via phone (409) 813-1765, or through Kanneganti, Ravikumar 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:
Map and Directions
Authorized official contact:
Name: Kanneganti, Ravikumar Doctor of Medicine (MD)
Phone: (409) 813-1765

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H6867 Texas

Profile Details

NPI number 1013217603
LBN Legal business name Ravikumar Kanneganti Md Pa
DBA Doing business as
Authorized official Kanneganti, Ravikumar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2010
Last updated Oct 28th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013217603 NPPES
Texas MEDICAID 114668001

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