Panguluri, Rangarao

Panguluri, Rangarao is an individual health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Panguluri, Rangarao can be contacted via phone (517) 205-7836.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 205-7836
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301051147 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A52987 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301051147 Michigan

Profile Details

NPI number 1619952405
LBN Legal business name Panguluri, Rangarao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 21st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619952405 NPPES
California MEDICAID 00A529870
California Other 100016964
California Other OOA529870424

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