Individual
MARIA C RANOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 450-6815
(812) 450-6822
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01064380A
IN
208M00000X
Hospitalist Physician
Primary
01064380A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000549002
ANTHEM PIN - GATEWAY BLVD
IN
05
—
200886480
—
IN
Enumeration date
01/03/2006
Last updated
04/13/2015
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