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Individual

PRAVEEN RANGANATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2020 MERIDIAN ST STE 100, ANDERSON, IN 46016-4338
(765) 646-8509
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01077267A
IN
207R00000X
Internal Medicine Physician
4301096381
MI
207RH0000X
Hematology (Internal Medicine) Physician
01077267A
IN
207RH0003X
Hematology & Oncology Physician
01077267A
IN
207RX0202X
Medical Oncology Physician
Primary
01077267A
IN

Other

Enumeration date
07/20/2010
Last updated
07/27/2016
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