Individual
SOPHIA RANGWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3451 MOUNTAIN LION DR, LOVELAND, CO 80537-8817
(970) 800-9330
(720) 927-4301
Mailing address
PO BOX 731, LOVELAND, CO 80539-0731
(970) 800-9330
(720) 927-4301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58655
CO
207ND0900X
Dermatopathology Physician
58655
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13994197
CAQH
—
Enumeration date
05/01/2012
Last updated
10/21/2022
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