Ravi Jonnalagadda Kumar, MBBS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

427889 Issued in PA

Practice address

1 Montgomery Ave
# 213
Bala Cynwyd, PA 19004-2662

Phone

(484) 270-8756

NPI assigned

Jul 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ravi Kumar Jonnalagadda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258156800000",
    "number": "1801086657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MONTGOMERY AVE",
            "address_2": "# 213",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042662",
            "telephone_number": "484-270-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MONTGOMERY AVE",
            "address_2": "# 213",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042662",
            "telephone_number": "484-270-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "RAVI",
        "middle_name": "JONNALAGADDA",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2009-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "427889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVI",
            "last_name": "JONNALAGADDA",
            "middle_name": "KUMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Paul Kowitt, PHD
• Kevin William Kozlik
• Alan David Krausz, DMD
• Joanna Ku, D.M.D.
• Elizabeth N. Kuh, MD
• Nicole Kwak, AUD
• Janine V. Kyrillos, M.D.
• Jay Lackman, DMD
• Caytlen Lamaj
• Grace Eleanor Lambert, MED, BCBA, LBS

• Surgery Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; 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.