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Individual

VADAK H RANGANATHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1005 BELLEFONTAINE AVE STE 350, LIMA, OH 45804-2885
(419) 998-8200
Mailing address
3152 EL CAMINO DR, SPRINGFIELD, OH 45503
(937) 629-0940
(937) 629-0942

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
74925
OH
2084N0400X
Neurology Physician
01038317A
IN
2084N0400X
Neurology Physician
Primary
74925
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2084195
OH
01
74925
STATE LICENSE
OH
Enumeration date
03/11/2006
Last updated
09/06/2024
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