Individual
RANGASSAMY MEIBALANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4280
(812) 842-4580
Mailing address
PO BOX 637273, CINCINNATI, OH 45263-7273
(812) 842-4260
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01027658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01027658A
LICENSE
IN
05
—
200027100
—
IN
05
—
64750201
—
KY
Enumeration date
08/30/2006
Last updated
11/06/2019
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