MEDICARE: RAVINDRA K GOGINENI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	12675	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	001718792	OTHER	WV	BLUE CROSS

General Provider Information

NPI Number	:	1144222324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAVINDRA K GOGINENI M.D.

Provider Business Mailing Address
First Line	:	1021 QUARRIER ST
Second Line	:	STE 301
City	:	CHARLESTON
State	:	WV
Zip	:	25301-2313
Country	:	US
Telephone Number	:	304-343-4625
Fax Number	:	304-343-4626

Provider Business Practice Location Address
First Line	:	1021 QUARRIER ST
Second Line	:	STE 301
City	:	CHARLESTON
State	:	WV
Zip	:	25301-2313
Country	:	US
Telephone Number	:	304-343-4625
Fax Number	:	304-343-4626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/07/2012

Similar Medicare Providers

1225031701 — RIAD AL-ASBAHI M.D.
Practice Location Address:

1021 QUARRIER ST , STE 301
CHARLESTON, WV
25301-2313

Practice Phone: 304-343-4625
Practice Fax: 304-343-4626

1871662155 — DR. ROBERT AUGUSTUS HAMRICK II DMD
Practice Location Address:

1021 QUARRIER STREET , SUITE 313
CHARLESTON, WV
25301-2313

Practice Phone: 304-343-1143
Practice Fax:

1811609175 — ANNMARIE BLANTON WILSON
Practice Location Address:

1021 QUARRIER ST STE 301
CHARLESTON, WV
25301-2313

Practice Phone: 304-513-3900
Practice Fax:

1972201234 — MS. SHERRY TENISE MINTER-ELLIOTT
Practice Location Address:

1021 QUARRIER ST STE 301
CHARLESTON, WV
25301-2313

Practice Phone: 304-513-3900
Practice Fax:

1437165099 — SHIRLEY HOWELL LCPC, LAC, LCSW
Practice Location Address:

1701 W CHARLESTON BLVD STE 300
LAS VEGAS, NV
89102-2313

Practice Phone: 702-251-8000
Practice Fax: 702-471-0120

1053527689 — KATHLEEN NMI HEROLD MED, LPC
Practice Location Address:

2313 KING EDWARD DR
CHARLESTON, SC
29414-5604

Practice Phone: 843-276-0694
Practice Fax:

Directions to “ RAVINDRA K GOGINENI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.