Organization
INTERNAL MEDICINE & GERIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANGANATHAN RAJENDRAN MD (MD)
(541) 677-8900
Entity
Organization
Contact information
Practice address
3369 NE STEPHENS ST., STE. 100, ROSEBURG, OR 97470
(541) 677-8900
(541) 677-8900
Mailing address
3369 NE STEPHENS ST., STE 100, ROSEBURG, OR 97470
(541) 677-8900
(541) 677-8903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24877
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029057
—
OR
Enumeration date
05/10/2007
Last updated
06/21/2018
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