Dammanna, Ravishanker R

Dammanna, Ravishanker R is an individual health care provider with primary practice located at 3333 Old Milton Pkwy Ste 400 , Alpharetta GA 30005-4437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dammanna, Ravishanker R can be contacted via phone (770) 391-3979.

Contact Information

Primary practice address
3333 Old Milton Pkwy Ste 400 Alpharetta GA 30005-4437
Fax: (770) 391-0020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 058663 Georgia

Profile Details

NPI number 1316052418
LBN Legal business name Dammanna, Ravishanker R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 7th, 2023 - about 2 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 1316052418 NPPES
Georgia MEDICAID 072558589A
Georgia Other 058663

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