Individual
DR. VENKATAPPA RANGARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4415 FRONT NINE DR STE 600, CUMMING, GA 30041-6239
(770) 744-7688
(770) 406-1058
Mailing address
4415 FRONT NINE DR STE 600, CUMMING, GA 30041-6239
(678) 456-8463
(770) 406-1058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132617A
—
GA
05
—
340376313I
—
GA
Enumeration date
06/25/2006
Last updated
02/11/2023
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