Vasireddy, Ravikumar
Vasireddy, Ravikumar is an individual health care provider with primary practice located at 301 N. 32Nd St. , Muskogee OK 74401-5037. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Vasireddy, Ravikumar can be contacted via phone (918) 683-2000.Contact Information
Primary practice address
301 N. 32Nd St.
Muskogee OK 74401-5037
Phone: (918) 683-2000
Fax: (918) 686-0554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 21102 | Oklahoma |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 21102 | Oklahoma |
Profile Details
| NPI number | 1043257413 |
|---|---|
| LBN Legal business name | Vasireddy, Ravikumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 10th, 2024 - about last year |
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 | 1043257413 | NPPES |
| Oklahoma | MEDICAID | 100027960A |
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