Healthcare Provider Details

I. General information

NPI: 1952346454
Provider Name (Legal Business Name): RANJIT KATNENI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 10/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6730 ROOSEVELT AVE STE 303
MIDDLETOWN OH
45005-5730
US

IV. Provider business mailing address

PO BOX 229
MIAMISBURG OH
45343-0229
US

V. Phone/Fax

Practice location:
  • Phone: 513-618-7430
  • Fax: 513-280-8868
Mailing address:
  • Phone: 513-618-7430
  • Fax: 513-280-8868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35082600
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35-082600
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: