RAVIKUMAR KANNEGANTI MD PA
NPI 1013217603
Specialist in Beaumont, TX

Q: What is Ravikumar Kanneganti MD PA's NPI number?

The NPI number for Ravikumar Kanneganti MD PA is 1013217603. It was assigned to this organization in the NPPES registry on October 28, 2010.

Q: What is Ravikumar Kanneganti MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 28, 2010

3250 MEDICAL CENTER DR, BEAUMONT, TX 77701(409) 813-1765(409) 813-1875 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ravikumar Kanneganti Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVIKUMAR KANNEGANTI MD PA (NPI 1013217603) is a healthcare organization registered as a specialist in Beaumont, Texas and active in the NPI registry since October 2010. The organization lists Ravikumar Kanneganti, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1013217603

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameRAVIKUMAR KANNEGANTI MD PA

Location Address3250 MEDICAL CENTER DRBeaumont, TX 77701-4627

Mailing AddressPo Box 21313Beaumont, TX 77720-1313 · (409) 813-1765 · Fax (409) 813-1875

Phone(409) 813-1765

Fax(409) 813-1875

Organization SubpartNo

Authorized OfficialRavikumar KannegantiPsychiatrist · (409) 813-1765

Enumeration DateOctober 28, 2010

✔ NPI 1013217603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · H6867

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3250 MEDICAL CENTER DR, Beaumont, TX 77701

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Other Identifiers 2

Medicaid114668001TX

Medicare UPINE57427TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROF. CHRISTIE NICOLE WINFREY FNP

Nurse Practitioner (Psychiatric/Mental Health)