Organization
RAVINDRANATH KAMBHAMPATI, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDRANATH KAMBHAMPATI M.D. (OWNER)
(248) 852-9411
Entity
Organization
Contact information
Practice address
2820 CROOKS RD, SUITE 200, ROCHESTER HILLS, MI 48309-3620
(248) 852-9411
(248) 852-4279
Mailing address
2820 CROOKS RD, SUITE 200, ROCHESTER HILLS, MI 48309-3620
(248) 852-9411
(248) 852-4279
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301037362
MI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
4301037362
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0637586
BLUE CARE NETWORK
MI
01
—
136004500
OWCP
MI
01
—
2406375861
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
4331587
AETNA
MI
Enumeration date
04/28/2008
Last updated
04/28/2008
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