Ranga Kota Md, Pc

NPI 1124452628 - Internal Medicine - 207RG0100X

NPI Details
NPI 1124452628
Enumeration Date 09/03/2013
Last Updated 09/03/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SUZI SUZI
Position CREDENTIALING SPECIALIST, CDS
Phone (219) 759-5812
Fax
Practice Location
3630 WILLOWCREEK RD
PORTAGE IN, 46368-5075, US
Phone (219) 759-5812
Fax
Business Location
3630 WILLOWCREEK RD
PORTAGE IN, 46368-5075, US
Phone
Fax
Toxanomy
Taxonomy Code 207RG0100X
License State Indiana
License Number 01038987
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According to our database, Ranga Kota Md, Pc NPI is 1124452628, taxonomy code is 207RG0100X and license number is 01038987, license state is located at Indiana. Ranga Kota Md, Pc physically located at 3630 Willowcreek Rd, Portage IN, 46368-5075. NPI Number 1033115704 has the healthcare provider type.

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1124452628 NPI number is provided on an as is basis without warranty of any kind. 1124452628 is maintained by the National Plan & Provider Enumeration System. The contents of Ranga Kota Md, Pc are for informational purposes only.