Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ravikumar Kanneganti, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1679643191

Ravikumar Kanneganti, MD is a Psychiatry in Beaumont, Texas. Qualified in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
47
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3250 Medical Center Dr
Beaumont, TX 77701-4627
Phone: (409) 813-1765
Fax: (409) 813-1875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence H6867 (TX)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence H6867 (TX)

Record details

NPI number1679643191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 9, 2006
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing addressPo Box 21313, Beaumont, TX 77720-1313

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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