Vegasana, Ravikiran

Vegasana, Ravikiran is an individual health care provider with primary practice located at 608 E Orangeburg Ave , Modesto CA 95350-5513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Vegasana, Ravikiran can be contacted via phone (209) 529-2645.

Contact Information

Primary practice address
608 E Orangeburg Ave Modesto CA 95350-5513
Phone: (209) 529-2645
Fax: (209) 529-3024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35122842 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A129459 California

Profile Details

NPI number 1770738825
LBN Legal business name Vegasana, Ravikiran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2008
Last updated Apr 25th, 2018 - about 7 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 1770738825 NPPES
Ohio MEDICAID 0103941
Ohio Other CA272453

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