Anu Ravikanth MD LLC Dba-Internal Medicine of Marietta

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

048297 Issued in GA

Legal business name

ANU RAVIKANTH MD LLC DBA-INTERNAL MEDICINE OF MARIETTA

Doing business as

Internal Medicine Of Marietta

Practice address

140 Vann Street NE
Suite 350
Marietta, GA 30060

Phone

(770) 771-5470

Fax

(770) 771-5471

NPI assigned

Aug 28, 2010

Last updated

Jan 15, 2014By 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. Anupama Ravikanth, M.D.NPI 1184719122

Title

Owner

Phone

(770) 771-5470

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Internal Medicine Of Marietta Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Anupama Ravikanth, M.D.

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1184719122
  Authorized official Same address or phone

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1649586595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 VANN STREET NE",
            "address_2": "SUITE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-771-5470",
            "fax_number": "770-771-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 VANN STREET NE",
            "address_2": "SUITE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-771-5470",
            "fax_number": "770-771-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANU RAVIKANTH MD LLC DBA-INTERNAL MEDICINE OF MARIETTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-28",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "RAVIKANTH",
        "authorized_official_first_name": "ANUPAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-771-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1184719122",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Of Marietta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.