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
Phone: (219) 759-5812
Fax: (219) 759-5890
Website:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932145745 | NPPES |
Indiana | MEDICAID | 200007810A | |
Indiana | Other | 000000086034 |
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