Ranga Kota Md, Pc | |
3630 Willowcreek Rd Portage IN 46368-5075 | |
(219) 759-5812 | |
Not Available |
Full Name | Ranga Kota Md, Pc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 3630 Willowcreek Rd, Portage, Indiana |
Authorized Official Name and Position | Suzi Sinde (CREDENTIALING SPECIALIST, CDS) |
Authorized Official Contact | 2197691670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ranga Kota Md, Pc 3630 Willowcreek Rd Portage IN 46368-5075 Ph: () - | Ranga Kota Md, Pc 3630 Willowcreek Rd Portage IN 46368-5075 Ph: (219) 759-5812 |
NPI Number | 1124452628 |
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Provider Enumeration Date | 09/03/2013 |
Last Update Date | 09/03/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124452628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 01038987 (Indiana) | Primary |
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