| Ranga Kota Md, Pc | |
|
3630 Willowcreek Rd Portage IN 46368-5075 | |
| (219) 759-5812 | |
| Not Available |
| Full Name | Ranga Kota Md, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3630 Willowcreek Rd, Portage, Indiana |
| Authorized Official Name and Position | Suzi Sinde (CREDENTIALING SPECIALIST, CDS) |
| Authorized Official Contact | 2197691670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ranga Kota Md, Pc 3630 Willowcreek Rd Portage IN 46368-5075 Ph: () - | Ranga Kota Md, Pc 3630 Willowcreek Rd Portage IN 46368-5075 Ph: (219) 759-5812 |
| NPI Number | 1124452628 |
|---|---|
| Provider Enumeration Date | 09/03/2013 |
| Last Update Date | 09/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124452628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 01038987 (Indiana) | Primary |
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