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Ravikumar Kanneganti Md Pa
Specialist in Beaumont, Texas
NPI 1013217603

Ravikumar Kanneganti Md Pa is a Specialist based in Beaumont, TX. Ravikumar Kanneganti Md Pa practices in Beaumont, TX. The NPI Number for Ravikumar Kanneganti Md Pa is 1013217603 and holds a License No. H6867 (Texas).

The current practice location address for Ravikumar Kanneganti Md Pa is 3250 Medical Center Dr, Beaumont, TX and can be reached out via phone at 409-813-1765 and via fax at 409-813-1875.

Location: 3250 Medical Center Dr, Beaumont, TX, 77720-1313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013217603
Provider Name
Ravikumar Kanneganti Md Pa
Credential
Provider Entity Type
Organization
Address
3250 Medical Center Dr, Beaumont, TX, 77720-1313
Phone Number
409-813-1765
Fax Number
409-813-1875
Provider Enumeration Date
10/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114668001 05 TX
institution
Provider Business Practice Location Address Details
Address
3250 Medical Center Dr
City
Beaumont
State
Texas
Zip
77701-4627
Phone Number
409-813-1765
Fax Number
409-813-1875
person
Provider Business Mailing Address Details
Address
3250 Medical Center Dr
City
Beaumont
State
Texas
Zip
77701-4627
Phone Number
409-813-1765
Fax Number
409-813-1875
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
H6867 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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