Kantamneni, Ravindranath V.

Kantamneni, Ravindranath V. is an sole proprietor health care provider with primary practice located at 1540 E Main St , Dothan AL 36301-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kantamneni, Ravindranath V. can be contacted via phone (334) 793-2618.

Contact Information

Primary practice address
1540 E Main St Dothan AL 36301-3012
Fax: (334) 792-7353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 21365 Alabama

Profile Details

NPI number 1053361576
LBN Legal business name Kantamneni, Ravindranath V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jun 14th, 2010 - about 16 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 1053361576 NPPES
Alabama Other 051076333 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 000076333 BLUE CROSS BLUE SHIELD

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