Active NPIIndividual provider

Dr. Ajantha Rangasamy, MD

Internal Medicine in Staten Island, New York

NPI Number1194882613
Practice location
355 Bard Ave, Staten Island, NY 10310-1664
Fax
—
Last updated
July 8, 2007

Ajantha Rangasamy is an Internal Medicine based in Staten Island, NY. Ajantha Rangasamy practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Ajantha Rangasamy is 1194882613 and holds a License No. 241341 (NY). The current practice location address for Ajantha Rangasamy is 355 Bard Ave, Staten Island, NY 10310-1664 and can be reached out via phone at 718-818-1234.

Provider Profile Details

NPI Number
1194882613
Provider Name
Ajantha Rangasamy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
355 Bard Ave, Staten Island, NY 10310-1664
Phone Number
718-818-1234
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
355 Bard Ave
Staten Island, NY 10310-1664
Zip
10310-1664
Phone Number
718-818-1234
Staten Island, NY 10310Get directions →

Provider Business Mailing Address Details

Address
222 Prospect Ave
Fl 2
Bayonne, NJ 07002-4722
City
Bayonne
State
NJ
Zip
07002-4722
Phone Number
646-251-5722

License Information

License Number
241341
License State
NY
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ajantha Rangasamy, MD?

The NPI number of Dr. Ajantha Rangasamy, MD is 1194882613. It was assigned on January 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Ajantha Rangasamy, MD?

Dr. Ajantha Rangasamy, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 241341.

Where does Dr. Ajantha Rangasamy, MD practice?

The practice location is 355 Bard Ave, Staten Island, NY 10310-1664. The office can be reached at 718-818-1234 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194882613 directly on the NPPES registry website.

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