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General NPI Number Information
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NPI Number | 1891772281
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Entity Type | Individual
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Provider Name | RAMESH P KANURU M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 3445 RIDGE RD
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City | HIGHLAND
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State | IN
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Zip | 46322-2049
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Country | US
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Telephone | 219-838-1100
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Fax | 219-923-3501
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Provider Business Mailing Address
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Address Line | 3445 RIDGE RD
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City | HIGHLAND
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State | IN
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Zip | 46322-2049
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Country | US
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Telephone | 219-838-1100
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Fax | 219-923-3501
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01029165A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 01029165A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 01029165A
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License Number State | IN
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