Individual
DR. RAVI KUMAR KAMEPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 JENKINS ST, LAGRANGE, GA 30240-4225
(706) 739-7789
(706) 739-7776
Mailing address
505 JENKINS ST, LAGRANGE, GA 30240-4225
(706) 739-7789
(706) 739-7776
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
85111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003232464A
—
GA
05
—
2402046
—
OH
05
—
300021480
—
IN
01
—
G18732A
MEDICARE
GA
Enumeration date
08/16/2005
Last updated
09/20/2023
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