Organization
RAVIKUMAR KANNEGANTI MD KANNEGANTI COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVIKUMAR KANNEGANTI M.D (OWNER)
(409) 813-1765
Entity
Organization
Contact information
Practice address
3250 MEDICAL CENTER DR, BEAUMONT, TX 77701-4627
(409) 813-1765
(409) 813-1875
Mailing address
PO BOX 21313, BEAUMONT, TX 77720-1313
(409) 813-1765
(409) 813-1875
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200399801
—
TX
Enumeration date
07/31/2008
Last updated
05/05/2015
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