Individual
VITAL RANGASHAMANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5140
(317) 705-5047
Mailing address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5140
(317) 705-5047
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
45825
TX
2085R0202X
Diagnostic Radiology Physician
Primary
ME168399
FL
Other
Enumeration date
07/31/2017
Last updated
10/28/2024
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