Rangwalla, Sujal

Rangwalla, Sujal is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Ste 200 , Austin TX 78723-3078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Rangwalla, Sujal can be contacted via phone (512) 628-1810.

Contact Information

Primary practice address
1301 Barbara Jordan Blvd Ste 200 Austin TX 78723-3078
Fax: (512) 628-1811
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N3263 Texas
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X N3263 Texas

Profile Details

NPI number 1144354440
LBN Legal business name Rangwalla, Sujal
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jan 10th, 2012 - about 12 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 1144354440 NPPES
Texas MEDICAID 204336601

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