Individual
RAVI KANAKAMEDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8840 CALUMET AVE, SUITE 103, MUNSTER, IN 46321-2529
(219) 836-7246
(219) 836-6454
Mailing address
8840 CALUMET AVE, SUITE 103, MUNSTER, IN 46321-2545
(219) 836-7246
(219) 836-6454
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us