Individual
GUBBI NAGARAI RANGANATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 S SILLYMAN ST, CRESSONA, PA 17929
(570) 385-5525
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD041078L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000583463
BLUE SHIELD
PA
05
—
0011884760001
—
PA
01
—
01144501
CAPITAL BLUE CROSS
PA
01
—
020301000
FEDERAL BLACK LUNG
PA
01
—
0473231
US HEALTHCARE
PA
01
—
0998130
KEYSTONE SPECIALIST
PA
01
—
110031033
RAILROAD MEDICARE PBA
PA
01
—
116993900
FEDERAL EMPLOYEES COMP
PA
01
—
38784
GEISINGER HEALTH PLAN
PA
Enumeration date
02/07/2006
Last updated
08/09/2018
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