Rangel, Jesus Raphael

Rangel, Jesus Raphael is an individual health care provider with primary practice located at 119 River Dr , Pikeville KY 41501-1685. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Rangel, Jesus Raphael can be contacted via phone (606) 437-5500.

Contact Information

Primary practice address
119 River Dr Pikeville KY 41501-1685
Phone: (606) 437-5500
Fax: (606) 437-0873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32202 Kentucky
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 32202 Kentucky

Profile Details

NPI number 1508980186
LBN Legal business name Rangel, Jesus Raphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Nov 26th, 2007 - about 18 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 1508980186 NPPES
Kentucky Other 000000190776 ANTHEM BLUE CROSS BLUE
Kentucky Other 1165144 ANTHEM BLUE CROSS BLUE
Kentucky MEDICAID 20098018 ANTHEM BLUE CROSS BLUE

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