Individual
RAVI KANAKAMEDALA
Active
Individual
RAVI KANAKAMEDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
01035342A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330862
BLUE CROSS BLUE SHEILD
IN
01
—
01035342A
BCBS OF IL
IL
01
—
01035342A
LICENSE NUMBER
IN
01
—
050085655
MEDICARE RAILROAD
GA
05
—
100259430A
—
IN
01
—
5841131
AETNA
IN
Enumeration date
07/18/2005
Last updated
08/13/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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