Individual
DR. RAVINDRA KUMAR VEGUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS., FRCSED.
Contact information
Practice address
1432 S DOBSON RD, SUITE 301, MESA, AZ 85202-4768
(480) 412-9400
(480) 412-9401
Mailing address
1432 S DOBSON RD, SUITE 301, MESA, AZ 85202-4768
(480) 412-9400
(480) 412-9401
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
036103187
IL
2086S0120X
Pediatric Surgery Physician
Primary
42746
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103187
—
IL
01
—
809840
GROUP
IL
01
—
K33862
INDIVIDUAL
IL
Enumeration date
06/08/2006
Last updated
11/09/2010
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