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:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1619952405 | NPPES |
| Other | OOA529870424 | CAL OPTIMA | |
| MEDICAID | 00A529870 | CAL OPTIMA | |
| Other | 100016964 | CAL OPTIMA |
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