Kota, Ranga R

Kota, Ranga R is an individual health care provider with primary practice located at 3630 Willowcreek Rd , Portage IN 46368-5075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Kota, Ranga R can be contacted via phone (219) 759-5812.

Contact Information

Primary practice address
3630 Willowcreek Rd Portage IN 46368-5075
Fax: (219) 759-5890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 01038987A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01038987 Indiana

Profile Details

NPI number 1932145745
LBN Legal business name Kota, Ranga R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Sep 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932145745 NPPES
Indiana MEDICAID 200007810A
Indiana Other 000000086034

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