Ravikumar Kanneganti MD PA

NPI #1013217603 in Beaumont, Texas

Provider Information

NPI Number: 1013217603
Entity Type: Organization
Organization Name: Ravikumar Kanneganti MD PA
Primary Specialty: Specialist
Enumeration Date: Oct 28, 2010
Last Updated: Oct 28, 2010

Practice Location

Address: 3250 MEDICAL CENTER DR
City: Beaumont
State: Texas
ZIP Code: 77701-4627
Phone: (409) 813-1765

Authorized Official

Name: DR. RAVIKUMAR KANNEGANTI, M.D.
Title: PSYCHIATRIST
Phone: (409) 813-1765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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