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NPI Code Detail

MEDICARE: SRINIVASAN RANGA NATHAN M.D,

MEDICARE:   SRINIVASAN RANGA NATHAN  M.D,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianF6190TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235326828
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRINIVASAN RANGA NATHAN M.D,
Provider Business Mailing Address
First Line : 9816 MEMORIAL BLVD STE 206
Second Line :
City : HUMBLE
State : TX
Zip : 77338-4206
Country : US
Telephone Number : 281-446-8114
Fax Number : 281-446-1158
Provider Business Practice Location Address
First Line : 9816 MEMORIAL BLVD
Second Line : 206
City : HUMBLE
State : TX
Zip : 77338-4255
Country : US
Telephone Number : 281-446-8114
Fax Number : 281-446-1158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2007
Last Update Date : 02/09/2026

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Directions to “ SRINIVASAN RANGA NATHAN M.D,” Practice Location

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