Provider Demographics
NPI:1982661724
Name:RANGINENI, RAMU (MD)
Entity Type:Individual
Prefix:
First Name:RAMU
Middle Name:
Last Name:RANGINENI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 BUENOS AIRES DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6566
Mailing Address - Country:US
Mailing Address - Phone:817-281-3121
Mailing Address - Fax:817-281-7649
Practice Address - Street 1:6700 BUENOS AIRES DR
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6566
Practice Address - Country:US
Practice Address - Phone:817-281-3121
Practice Address - Fax:817-281-7649
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0229207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169768204Medicaid
TXP00968706OtherRAILROAD MEDICARE
I22244Medicare UPIN