Provider Demographics
NPI:1851396626
Name:RANGAPPA, SUMAN C
Entity Type:Individual
Prefix:DR
First Name:SUMAN
Middle Name:C
Last Name:RANGAPPA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SUMAN
Other - Middle Name:C
Other - Last Name:RANGAPPA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:2610 LEDGEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-6060
Mailing Address - Country:US
Mailing Address - Phone:281-482-2610
Mailing Address - Fax:
Practice Address - Street 1:1309 W FAIRMONT PKWY
Practice Address - Street 2:STE C
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-6123
Practice Address - Country:US
Practice Address - Phone:281-842-9934
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice