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RANGA R KOTA M.D.

Surgery Yellow Pages

Portage, Indiana

Provider NPI: 1932145745

Provider Information:
 RANGA R KOTA M.D.


Practice Location:
3630 WILLOWCREEK RD  PORTAGE, IN 46368 US
Tel: 219-759-5812  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RG0100XPhysicians
Internal Medicine
Gastroenterology
IN01038987
N208C00000XPhysicians
Colon & Rectal Surgery
IN01038987A

Other Provider Identifiers:

IssuerNumberStateType
BCBS OF IN000000086034IN01
200007810AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



JOBS IN - Page 1

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