Individual
DEEPA RANGANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 535-3611
(770) 535-7092
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
062075
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
A70010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447398300
NPI GROUP #
CA
01
—
202921026
TAX ID#
CA
Enumeration date
02/02/2007
Last updated
03/10/2015
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