Individual
RANGA RATHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7305 N MILITARY TRL, MEDICINE, WEST PALM BEACH, FL 33410
(561) 293-1585
Mailing address
1617 HULL CT, WELLINGTON, FL 33414-8583
(561) 293-1585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23240
OK
207R00000X
Internal Medicine Physician
ME89030
FL
208M00000X
Hospitalist Physician
Primary
ME89030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME89030
LICENSE
FL
Enumeration date
05/23/2006
Last updated
02/29/2016
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