Panguluri, Rangarao

Panguluri, Rangarao is an individual health care provider with primary practice located at 4111 Maine Ave , Baldwin Park CA 91706-3307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Panguluri, Rangarao can be contacted via phone (626) 960-3016.

Contact Information

Primary practice address
4111 Maine Ave Baldwin Park CA 91706-3307
Phone: (626) 960-3016
Fax: (626) 960-3517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A52987 California

Profile Details

NPI number 1619952405
LBN Legal business name Panguluri, Rangarao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 5th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619952405 NPPES
Other OOA529870424 CAL OPTIMA
MEDICAID 00A529870 CAL OPTIMA
Other 100016964 CAL OPTIMA

Popular Providers