Healthcare Provider Details

I. General information

NPI: 1245281948
Provider Name (Legal Business Name): MEERA RANGANATHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 TOWER RD NE STE 200
MARIETTA GA
30060-9412
US

IV. Provider business mailing address

400 TOWER RD NE STE 200
MARIETTA GA
30060-9412
US

V. Phone/Fax

Practice location:
  • Phone: 770-422-1372
  • Fax: 770-999-2488
Mailing address:
  • Phone: 770-422-1372
  • Fax: 770-999-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD438092
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number49619
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD438092
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD438092
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD438092
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: