Vegunta, Ravindra Kumar

Vegunta, Ravindra Kumar is an individual health care provider with primary practice located at 1432 S Dobson Rd Suite 301, Mesa AZ 85202-4768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Vegunta, Ravindra Kumar can be contacted via phone (480) 412-9400.

Contact Information

Primary practice address
1432 S Dobson Rd Suite 301 Mesa AZ 85202-4768
Fax: (480) 412-9401
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 036103187 Illinois
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 42746 Arizona

Profile Details

NPI number 1346280203
LBN Legal business name Vegunta, Ravindra Kumar
Credentials MBBS., FRCSED.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 9th, 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 1346280203 NPPES
Illinois MEDICAID 036103187
Illinois Other 809840
Illinois Other K33862

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