| Ravikumar Kanneganti Md Kanneganti Counseling Services | |
|
3250 Medical Center Dr Beaumont TX 77701-4627 | |
| (409) 813-1765 | |
| (409) 813-1875 |
| Full Name | Ravikumar Kanneganti Md Kanneganti Counseling Services |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 3250 Medical Center Dr, Beaumont, Texas |
| Authorized Official Name and Position | Ravikumar Kanneganti (OWNER) |
| Authorized Official Contact | 4098131765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravikumar Kanneganti Md Kanneganti Counseling Services Po Box 21313 Beaumont TX 77720-1313 Ph: (409) 813-1765 | Ravikumar Kanneganti Md Kanneganti Counseling Services 3250 Medical Center Dr Beaumont TX 77701-4627 Ph: (409) 813-1765 |
| NPI Number | 1376709170 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376709170 | NPI | - | NPPES |
| 200399801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (Texas) | Primary |
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