Rajan S Mullangi, MD is a medicare enrolled "Anesthesiology" physician in Macomb, Illinois. His current practice location is
525 E Grant St, Macomb, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 833-4101.
Rajan S Mullangi is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790863801.
Physician's Profile
Full Name | Rajan S Mullangi |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 525 E Grant St, Macomb, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790863801
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 10/29/2007
Medicare PECOS Information:
- PECOS PAC ID: 8628374733
- Enrollment ID: I20160315001723
Medical Identifiers
Medical identifiers for Rajan S Mullangi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790863801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rajan S Mullangi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rajan S Mullangi, MD Po Box 70, Lake Forest, IL 60045-0070 Ph: () - | Rajan S Mullangi, MD 525 E Grant St, Macomb, IL 61455-3313 Ph: (309) 833-4101 |
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