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Ravichandra Kamisetti

NPI 1932475365 · on the registry since 2012

Practice

Address
1860 E Main St
Othello, WA 99344
Phone
(509) 488-9324
Fax
(509) 488-9433
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington