Doctor Name: | RAMAKRISHNAN RANGANATH |
NPI Number: | 1225213028 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | P21876 |
Business Practice Address: | 2412 50th St Lubbock, TX - 794122504 |
Business Phone Number: | 8067447223 |
Business Fax Number: | 8067403325 |
Mailing Address: | 2804 N Loop 289, LUBBOCK |
State: | TX |
Postal Code: | 794151410 |
Phone Number: | 8067447223 |
Fax Number: | 8067403325 |
NPI Enumeration Date: | 12/31/2007 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | P21876 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |