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Ravikumar Vemuru, MD
Specialist in Odessa, Texas
NPI 1205949120

Ravikumar Vemuru is a Specialist based in Odessa, TX. Ravikumar Vemuru practices in Odessa, TX and has the professional credentials of MD. The NPI Number for Ravikumar Vemuru is 1205949120 and holds a License No. J5044 (Texas).

The current practice location address for Ravikumar Vemuru is 315 E 5Th St, Odessa, TX and can be reached out via phone at 432-333-3433 and via fax at 432-333-3450.

Location: 315 E 5Th St, Odessa, TX, 79761-5133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205949120
Provider Name
Ravikumar Vemuru
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
315 E 5Th St, Odessa, TX, 79761-5133
Phone Number
432-333-3433
Fax Number
432-333-3450
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
U8947 01 NM MEDICAID
080701802 05 TX
100012089 01 TX RAILROAD MEDICARE
126089100 01 TX FIRSTCARE
institution
Provider Business Practice Location Address Details
Address
315 E 5Th St
City
Odessa
State
Texas
Zip
79761-5133
Phone Number
432-333-3433
Fax Number
432-333-3450
person
Provider Business Mailing Address Details
Address
315 E 5Th St
City
Odessa
State
Texas
Zip
79761-5133
Phone Number
432-333-3433
Fax Number
432-333-3450
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J5044 (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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