MEDICARE: DR. KULBIR RANGI DO

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	208D00000X	General Practice Physician	OS020322	PA

General Provider Information

NPI Number	:	1588309876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KULBIR RANGI DO

Provider Business Mailing Address
First Line	:	1009 WAYNE RD
Second Line	:
City	:	HADDONFIELD
State	:	NJ
Zip	:	08033-3637
Country	:	US
Telephone Number	:	215-497-0574
Fax Number	:

Provider Business Practice Location Address
First Line	:	5217 N LAWRENCE STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120
Country	:	US
Telephone Number	:	215-497-0574
Fax Number	:

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

Provider Enumeration Date	:	05/01/2022
Last Update Date	:	03/06/2026

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Directions to “ DR. KULBIR RANGI DO” Practice Location

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