Provider Demographics
NPI:1073635587
Name:MOIN A. RANGINWALA, MD, INC.
Entity Type:Organization
Organization Name:MOIN A. RANGINWALA, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RANGINWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-325-9450
Mailing Address - Street 1:2029 E HIGH ST
Mailing Address - Street 2:SUITE101
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505-1315
Mailing Address - Country:US
Mailing Address - Phone:937-325-9450
Mailing Address - Fax:937-325-9460
Practice Address - Street 1:2029 E HIGH ST
Practice Address - Street 2:SUITE101
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-1315
Practice Address - Country:US
Practice Address - Phone:937-325-9450
Practice Address - Fax:937-325-9460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35053689207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2826375Medicaid
OHMO9371751Medicare PIN
OH2826375Medicaid
OHDG6398Medicare PIN