Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AYYAPPA MYSORE RANGARAJU, MD
Active Sole ProprietorAYYAPPA MYSORE RANGARAJU, MD is a Gastroenterology healthcare provider located in CLOVIS, New Mexico. NPI 1093059925 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · CLOVIS, NM
Registration Details
- NPI Number
- 1093059925
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2012 (13.777702297613 yrs)
- Last Updated
- Oct 2, 2017
- Licenses
-
MD2017-0029 (NM)MD2017-0029 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2421 W 21ST ST STE BCLOVIS, NM, 881012006Browse NM providers · Browse ZIP 88101
- Phone
- 5757697577
- Fax
- 5757427856
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.