National Provider Identifier

Ravi Raj Kavuda, M.D.

Ravi Raj Kavuda, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Horseheads, NY and a listed phone number of (607) 481-2059.

NPI 1053690313Horseheads, NYPediatrics Physician

Profile Overview

NPI
1053690313
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
August 04, 2011
Last Updated
November 25, 2020

Practice Location

  • 100 John Roemmelt Dr Ste 203
  • Horseheads, NY 14845-8303

Phone: (607) 481-2059

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1053690313
Entity Type
Individual
Last Name
Kavuda
First Name
Ravi
Middle Name
Raj
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 873-1244
Practice Street Address
100 John Roemmelt Dr Ste 203
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-8303
Practice Country
US
Practice Phone
(607) 481-2059
Practice Fax
(607) 367-5007
Enumeration Date
August 04, 2011
Last Updated
November 25, 2020
Sex
Male
Sole Proprietor
No
Certification Date
November 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
04019912 (NY), 103558078 (PA)