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Individual
VENU RANGU
Active
Individual
VENU RANGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036134292
IL
207R00000X
Internal Medicine Physician
53410
WI
208M00000X
Hospitalist Physician
036128068
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689819138
—
WI
01
—
F400973635
MEDICARE PTAN
IL
Enumeration date
12/12/2008
Last updated
06/20/2023
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