Ravindranath V. Kantamneni
Nephrologist
1540 E Main St
Dothan
, Alabama 36301-3012
Ravindranath V. Kantamneni
Nephrologist
1540 E Main St
Dothan
, Alabama 36301-3012
(334) 792-7353
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Ravindranath V. Kantamneni
- 1540 E Main St
- Dothan, AL
- Zip : 36301-3012
- Fax : (334) 792-7353
- Phone : (334) 793-2618
Second Address
- Ravindranath V. Kantamneni
- 1540 E Main St
- Dothan, AL
- Zip : 36301-3012
- Fax : (334) 792-7353
- Phone : (334) 793-2618
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 21365 | AL |
National Provider Identifier
| NPI | 1053361576 |
|---|---|
| Provider Name | Ravindranath V. Kantamneni |
| First Address | Dothan, AL 36301-3012 |
| Second Address | Dothan, AL 36301-3012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2006 |
| Last Update Date | 14/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000076333 | (05) | AL |
| 051076333 | BLUE CROSS BLUE SHIELD (01) | AL |
| G64134 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.