Provider Demographics
NPI:1821008723
Name:DR. RANGA INC.
Entity Type:Organization
Organization Name:DR. RANGA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PUTTAGUNTA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-629-3663
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:NEW BREMEN
Mailing Address - State:OH
Mailing Address - Zip Code:45869-0098
Mailing Address - Country:US
Mailing Address - Phone:419-629-3663
Mailing Address - Fax:419-629-2783
Practice Address - Street 1:3920 SOUTHLAND RD
Practice Address - Street 2:
Practice Address - City:NEW BREMEN
Practice Address - State:OH
Practice Address - Zip Code:45869
Practice Address - Country:US
Practice Address - Phone:419-629-3663
Practice Address - Fax:419-629-2783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0277105Medicaid
OH0277105Medicaid