Provider Demographics
NPI:1255367694
Name:KAKANI, RAMANAIAH (MD)
Entity type:Individual
Prefix:DR
First Name:RAMANAIAH
Middle Name:
Last Name:KAKANI
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 1:2075 GLENN MITCHELL DR STE 400
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-0179
Mailing Address - Country:US
Mailing Address - Phone:757-252-9365
Mailing Address - Fax:757-962-7217
Practice Address - Street 1:2075 GLENN MITCHELL DR STE 400
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-0179
Practice Address - Country:US
Practice Address - Phone:757-252-9365
Practice Address - Fax:757-962-7217
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052433207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherVIRGINIA PREMIER HEALTH (EVMS HEALTH SERVICES)
VA010226554Medicaid
VA10015736OtherSENTARA OPTIMA
VA269848OtherANTHEM
NC790666PMedicaid
VAPAROtherAETNA
VA-001OtherTRICARE/CHAMPUS (EVMS HEALTH SERVICES)
VA1255367694Medicaid
VAPAROtherUSA MANAGED CARE
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherCIGNA
NC0666POtherNC BC/BS
VA187099OtherANTHEM BC/BS
VA351666OtherOPTIMA HEALTH PLAN
VA438219OtherMAMSI
VAPAROtherMULTIPLAN
VA638219OtherUHC/MAMSI
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherCORVEL/CORCARE
VA010226554Medicaid
VA638219OtherUHC/MAMSI
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherCORVEL/CORCARE
VAP00269882Medicare PIN