RAVI KANAKAMEDALA M.D. NPI 1932108511

NPI Information

NPI: 1932108511
Provider Name: RAVI KANAKAMEDALA, M.D.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

Address:
8840 CALUMET AVE
SUITE 103
MUNSTER, IN
ZIP 46321
Phone: (219) 836-7246
Get Directions

Ravi Kanakamedala, M.D. is an interventional pain medicine pain medicine in Munster, IN. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Ravi Kanakamedala, M.D. NPI is 1932108511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8840 CALUMET AVE
SUITE 103
MUNSTER, IN
ZIP 46321-529
Phone: (219) 836-7246
Fax: (219) 836-6454

The enumeration date for this NPI number is 7/18/2005 and was last updated on 8/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine	01035342A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	409950C	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
2	01035342A	OTHER	ILLINOIS	BCBS OF IL
3	050085655	OTHER	GEORGIA	MEDICARE RAILROAD
4	000000330862	OTHER	INDIANA	BLUE CROSS BLUE SHEILD
5	5841131	OTHER	INDIANA	AETNA
6	100259430A	MEDICAID	INDIANA
7	01035342A	OTHER	INDIANA	LICENSE NUMBER
8	E05625	MEDICARE UPIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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