MEDICARE: DR. RANI ANBARASU 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
1	207R00000X	Internal Medicine Physician	K9986	TX

General Provider Information

NPI Number	:	1326252255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANI ANBARASU M.D.

Provider Business Mailing Address
First Line	:	4206 N INTERSTATE 35
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3441
Country	:	US
Telephone Number	:	940-382-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	4206 N INTERSTATE 35
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3441
Country	:	US
Telephone Number	:	940-382-6900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/09/2007

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