Provider Demographics
NPI:1457330730
Name:KARNANI, RAVI M (MD)
Entity Type:Individual
Prefix:DR
First Name:RAVI
Middle Name:M
Last Name:KARNANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W BOWERY ST
Mailing Address - Street 2:SUITE 4500
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1069
Mailing Address - Country:US
Mailing Address - Phone:330-762-7475
Mailing Address - Fax:330-762-2988
Practice Address - Street 1:215 W BOWERY ST
Practice Address - Street 2:SUITE 4500
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1069
Practice Address - Country:US
Practice Address - Phone:330-762-7475
Practice Address - Fax:330-762-2988
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2012-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH35073400207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2272160Medicaid
OHP00241335OtherMEDICARE RAILROAD
OHP00241335OtherMEDICARE RAILROAD
OH2272160Medicaid