| Ravi Kanakamedala, MD | |
|
8840 Calumet Ave, Suite 103, Munster, IN 46321-2529 | |
| (219) 836-7246 | |
| (219) 836-6454 |
| Full Name | Ravi Kanakamedala |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 8840 Calumet Ave, Munster, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932108511 | NPI | - | NPPES |
| 01035342A | Other | IL | BCBS OF IL |
| 050085655 | Other | GA | MEDICARE RAILROAD |
| 5841131 | Other | IN | AETNA |
| 000000330862 | Other | IN | BLUE CROSS BLUE SHEILD |
| 01035342A | Other | IN | LICENSE NUMBER |
| 100259430A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 01035342A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ravi Kanakamedala, MD 8840 Calumet Ave, Suite 103, Munster, IN 46321-2545 Ph: (219) 836-7246 | Ravi Kanakamedala, MD 8840 Calumet Ave, Suite 103, Munster, IN 46321-2529 Ph: (219) 836-7246 |
Miss Kathryn Lillian Trojan, FNP-BC Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 | |
Shanu Kondamuri, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 | |
Satish Dasari, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 |