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Individual
LINDA CLAIRE RENGANATHAN
Active
Individual
LINDA CLAIRE RENGANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019641
NY
363AM0700X
Medical Physician Assistant
019641
NY
363AM0700X
Medical Physician Assistant
MA054698
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019641
NY LICENSE
NY
Enumeration date
11/29/2010
Last updated
02/05/2021
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