Provider Demographics
NPI:1013780188
Name:ARAVIND RANGARAJ MEDICAL CORPORATION
Entity Type:Organization
Organization Name:ARAVIND RANGARAJ MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARAVIND
Authorized Official - Middle Name:T
Authorized Official - Last Name:RANGARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:774-239-1960
Mailing Address - Street 1:26372 CHAPMAN CT
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-3012
Mailing Address - Country:US
Mailing Address - Phone:650-781-6261
Mailing Address - Fax:650-587-1372
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 225
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1588
Practice Address - Country:US
Practice Address - Phone:408-929-5610
Practice Address - Fax:650-587-1372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty