| Dr Ravi Raj Kavuda, MD | |
|
100 John Roemmelt Dr Ste 203, Horseheads, NY 14845-8303 | |
| (607) 481-2059 | |
| (607) 367-5007 |
| Full Name | Dr Ravi Raj Kavuda |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 100 John Roemmelt Dr Ste 203, Horseheads, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053690313 | NPI | - | NPPES |
| 04019912 | Medicaid | NY | |
| 103558078 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 275585 (New York) | Primary |
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Entity Name | Arnot Ogden Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083605661 PECOS PAC ID: 5395798417 Enrollment ID: O20061003000664 |
| Entity Name | Arnot Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427326768 PECOS PAC ID: 0840450748 Enrollment ID: O20120330000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ravi Raj Kavuda, MD 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Dr Ravi Raj Kavuda, MD 100 John Roemmelt Dr Ste 203, Horseheads, NY 14845-8303 Ph: (607) 481-2059 |
Dr. Olusoji Derek Olakanpo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 100, Horseheads, NY 14845 Phone: 607-734-2264 | |
Alan B Roessler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932 | |
Dr. Eileen M Reardon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2778 Westinghouse Rd, Horseheads, NY 14845 Phone: 607-739-1076 | |
John Juriga, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932 | |
Amy L White, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-767-0340 | |
Dr. Tina Marie Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932 |