Organization
RANGA KOTA MD, PC
Active
Organization
RANGA KOTA MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZI SINDE (CREDENTIALING SPECIALIST, CDS)
(219) 769-1670
Entity
Organization
Contact information
Practice address
3630 WILLOWCREEK RD, PORTAGE, IN 46368-5075
(219) 759-5812
Mailing address
3630 WILLOWCREEK RD, PORTAGE, IN 46368-5075
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01038987
IN
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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