Provider Demographics
NPI:1285818534
Name:RANGARAJAN, SURESH BABU (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:SURESH
Middle Name:BABU
Last Name:RANGARAJAN
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-2107
Mailing Address - Country:US
Mailing Address - Phone:619-838-7353
Mailing Address - Fax:
Practice Address - Street 1:402 DICKINSON ST
Practice Address - Street 2:MULTIPURPOSE FACILITY, SUITE 380
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6902
Practice Address - Country:US
Practice Address - Phone:619-543-6268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99161207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine