Healthcare Provider Details

I. General information

NPI: 1083549612
Provider Name (Legal Business Name): RIPPLE INSURANCE HOLDING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 ILLINOIS ST
SHERIDAN WY
82801-5234
US

IV. Provider business mailing address

909 ILLINOIS ST
SHERIDAN WY
82801-5234
US

V. Phone/Fax

Practice location:
  • Phone: 404-703-7233
  • Fax: 888-375-7033
Mailing address:
  • Phone: 404-703-7233
  • Fax: 888-375-7033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1400X
TaxonomyPain Management Pharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. VIKALP KUMAR
Title or Position: CEO
Credential:
Phone: 404-600-4242