Vemuru, Ravikumar
Vemuru, Ravikumar is an individual health care provider with primary practice located at 315 E 5Th St , Odessa TX 79761-5133. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Vemuru, Ravikumar can be contacted via phone (432) 333-3433.Contact Information
Primary practice address
315 E 5Th St
Odessa TX 79761-5133
Phone: (432) 333-3433
Fax: (432) 333-3450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | J5044 | Texas |
Profile Details
| NPI number | 1205949120 |
|---|---|
| LBN Legal business name | Vemuru, Ravikumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Sep 30th, 2011 - about 14 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 | 1205949120 | NPPES |
| New Mexico | Other | U8947 | MEDICAID |
| New Mexico | MEDICAID | 080701802 | MEDICAID |
| New Mexico | Other | 100012089 | MEDICAID |
| New Mexico | Other | 126089100 | MEDICAID |
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