Ravina V Kadam in Lagrange - Internal Medicine

Ravina V Kadam - NPI 1134183742

Ravina V Kadam is a Internal Medicine in Lagrange, Georgia. Ravina V Kadam practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ravina V Kadam is 1134183742. The last update date is 2019-10-07.

Ravina V Kadam's current location address is 303 Medical Drive, Lagrange, Georgia. You can contact this provider via phone number 7068807361 and fax number 7068122657. The mailing address for Ravina V Kadam is 303 Medical Drive, Lagrange, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Ravina V Kadam
Address 303 Medical Drive, Lagrange, Georgia
Phone Number 7068807361
Fax Number 7068122657
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1134183742
Provider Enumeration Date 2006-04-12
Last Updated Date 2019-10-07

Provider Mailing Address Detail

Address 303 Medical Drive
City Lagrange
State Georgia (GA)
Post Code 302404145
Phone Number 7068807361
Fax Number 7068122657

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 28388
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
202193 MO BLUE SHIELD/BLUE CHOICE
732685 MO HEALTHLINK
P00310560 MO RR MEDICARE
200455004 MO --

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FAQs about Ravina V Kadam

What is the Ravina V Kadam's unique identification number?

The Ravina V Kadam has been assigned the NPI (National Provider Identifier) Number 1134183742 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Ravina V Kadam is physically located?

The Ravina V Kadam is physically situated at the following address: 303 Medical Drive, Lagrange, GA, 302404145.

What is Ravina V Kadam's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ravina V Kadam's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Ravina V Kadam receive its 1134183742 assignment from the Centers for Medicare & Medicaid Services?

The Ravina V Kadam was assigned its 1134183742 by the Centers for Medicare & Medicaid Services on 2006-04-12.

When was the information pertaining to Ravina V Kadam most recently updated or revised?

The details related to Ravina V Kadam, including its address, specialty, and other relevant information, were last updated or revised on 2019-10-07.

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