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Individual

RANGARAO PANGULURI

Active
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Individual

RANGARAO PANGULURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301051147
MI
207RG0100X
Gastroenterology Physician
Primary
4301051147
MI
207RG0100X
Gastroenterology Physician
A52987
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A529870
CA
01
100016964
RR MEDICARE
01
OOA529870424
CAL OPTIMA
Enumeration date
12/14/2005
Last updated
01/21/2025
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