Individual
RAMESH P KANURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3445 RIDGE RD, HIGHLAND, IN 46322-2049
(219) 838-1100
(219) 923-3501
Mailing address
3445 RIDGE RD, HIGHLAND, IN 46322-2049
(219) 838-1100
(219) 923-3501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01029165A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
01029165A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
01029165A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100259500
—
IN
Enumeration date
12/27/2005
Last updated
10/19/2022
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