Provider Demographics
NPI:1396385415
Name:RANGANATHAN T LTD
Entity Type:Organization
Organization Name:RANGANATHAN T LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THODUR
Authorized Official - Middle Name:M
Authorized Official - Last Name:RANGANATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-699-7850
Mailing Address - Street 1:13290 FOX HILL DR
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-8194
Mailing Address - Country:US
Mailing Address - Phone:248-699-7850
Mailing Address - Fax:248-699-7851
Practice Address - Street 1:555 WILSON LN
Practice Address - Street 2:CHICAGO BEHAVIORAL HOSPITAL
Practice Address - City:DESPLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4729
Practice Address - Country:US
Practice Address - Phone:248-699-7850
Practice Address - Fax:248-699-7851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty