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Contact Information

REVAMP HORMONE REPALCEMENT AND MEDICAL WEIGHT LOSS
161 S RIVERHEATH WAY STE 2600
APPLETON, WI54915-8420
 Phone: 513-373-9556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for REVAMP HORMONE REPALCEMENT AND MEDICAL WEIGHT LOSS

NPI Number 1174334619
LBN Legal business name REVAMP HORMONE REPALCEMENT AND MEDICAL WEIGHT LOSS
Authorized official SRIKAR KARANAM - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2025
Last updated 01/15/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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