Individual
RAVI JERAM KANKOTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 SUPERIOR AVE STE 100, NEWPORT BEACH, CA 92663-3660
(949) 764-5760
(949) 764-6782
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301507317
MI
207RG0100X
Gastroenterology Physician
Primary
A151400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RK3232267556
—
CA
Enumeration date
04/02/2016
Last updated
01/21/2026
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