Ravikumar Kanneganti, M.D.
Psychiatry & Neurology, Psychiatry in Beaumont, TX. Individual provider (NPI-1).
NPI number1679643191
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1679643191
- Entity type
- Individual (NPI-1)
- Name
- Ravikumar Kanneganti
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2006
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | H6867 | TX | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | H6867 | TX |
Practice location
3250 Medical Center DrBeaumont, TX 77701-4627
Phone 409-813-1765 · Fax 409-813-1875
Mailing address
Po Box 21313Beaumont, TX 77720-1313
Phone 409-813-1765 · Fax 409-813-1875
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