Individual
RANGADHAM NAGARAKANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 634-1331
Mailing address
1200 N BEAVER ST, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48585
KY
207R00000X
Internal Medicine Physician
MD424922
PA
207RC0000X
Cardiovascular Disease Physician
25MA08495300
NJ
207RC0000X
Cardiovascular Disease Physician
48585
KY
207RC0000X
Cardiovascular Disease Physician
MD202854
LA
207RC0000X
Cardiovascular Disease Physician
MD424922
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
48585
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
67092
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
R3562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0301825
—
NJ
05
—
153142
—
AZ
05
—
1883182
—
LA
05
—
201338570
—
IN
Enumeration date
01/12/2007
Last updated
03/24/2023
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