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Individual
KASTHURI RANGAN
Active
Individual
KASTHURI RANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G1168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038225101
—
TX
01
—
TXB166198
MEDICARE - GROUP ID
TX
Enumeration date
11/29/2005
Last updated
10/21/2019
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