Provider Demographics
NPI:1083781736
Name:RANGALA, NALINAKSHI SUBBARAYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NALINAKSHI
Middle Name:SUBBARAYAN
Last Name:RANGALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 203594
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-3594
Mailing Address - Country:US
Mailing Address - Phone:281-517-0262
Mailing Address - Fax:281-517-0263
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:SUITE 110
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4695
Practice Address - Country:US
Practice Address - Phone:281-517-0262
Practice Address - Fax:281-517-0263
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG28212085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8X1640OtherBLUE CROSS / BLUE SHIELD
TX133838608Medicaid
TXC20851Medicare UPIN
TX8J9368Medicare PIN
TX8J9369Medicare PIN