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NPI Code Detail

MEDICARE: DR. RAVI KUMAR CHEKKA M.D.

MEDICARE:  DR. RAVI KUMAR CHEKKA  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
1208000000XPediatrics PhysicianMD440507PA

General Provider Information

NPI Number : 1467626283
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAVI KUMAR CHEKKA M.D.
Provider Business Mailing Address
First Line : 1611 PEACH ST STE 300
Second Line :
City : ERIE
State : PA
Zip : 16501-2122
Country : US
Telephone Number : 814-454-2891
Fax Number :
Provider Business Practice Location Address
First Line : 1611 PEACH ST STE 300
Second Line :
City : ERIE
State : PA
Zip : 16501-2122
Country : US
Telephone Number : 814-454-2891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2008
Last Update Date : 10/01/2020

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Directions to “ DR. RAVI KUMAR CHEKKA M.D.” Practice Location

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