Ravikumar Kanneganti MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

H6867 Issued in TX

Legal business name

RAVIKUMAR KANNEGANTI MD PA

Practice address

3250 Medical Center Dr
Beaumont, TX 77701-4627

Phone

(409) 813-1765

Fax

(409) 813-1875

NPI assigned

Oct 28, 2010

Last updated

Oct 28, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ravikumar Kanneganti, M.D.NPI 1679643191

Title

Psychiatrist

Phone

(409) 813-1765

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravikumar Kanneganti, M.D.

  • Psychiatry Physician
  • Beaumont, TX
  • NPI 1679643191
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1013217603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21313",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777201313",
            "telephone_number": "409-813-1765",
            "fax_number": "409-813-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MEDICAL CENTER DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014627",
            "telephone_number": "409-813-1765",
            "fax_number": "409-813-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVIKUMAR KANNEGANTI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "KANNEGANTI",
        "authorized_official_first_name": "RAVIKUMAR",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "409-813-1765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H6867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114668001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maham Rathi
• Raul D. Isern Jr M.D.P.a
• Ravi H Halaswamy, M.D.
• Ravi Halaswamy MD PA
• Ravikumar Kanneganti MD Kanneganti Counseling Services
• Linda J Ray, MD
• Lisa Ray, M.S., CCC-SLP
• Rayfus J Broussard, DDS Inc
• RCB Medical PLLC
• Kaitlyn Read

• Specialist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.