Individual
DR. PRAVEEN RANGA SRUNGARAM
Active
Individual
DR. PRAVEEN RANGA SRUNGARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M4562
TX
207RG0100X
Gastroenterology Physician
Primary
M4562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1878753-04
—
TX
01
—
P00958818
MEDICARE RAILROAD
TX
Enumeration date
09/27/2006
Last updated
04/19/2024
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