Individual
DR. SUJAL RANGWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1810
(512) 628-1811
Mailing address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1810
(512) 628-1811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N3263
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
N3263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204336601
—
TX
Enumeration date
03/16/2007
Last updated
01/10/2012
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