MEDICARE: DR. NARAYANASWAMI RANGASWAMI MD

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	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	11404	TN
2	208000000X	Pediatrics Physician	11404	TN

General Provider Information

NPI Number	:	1265432488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NARAYANASWAMI RANGASWAMI MD

Provider Business Mailing Address
First Line	:	877 JEFFERSON AVE
Second Line	:	5TH FLOOR ADAMS PAVILION
City	:	MEMPHIS
State	:	TN
Zip	:	38103-2807
Country	:	US
Telephone Number	:	901-515-4529
Fax Number	:	901-515-4599

Provider Business Practice Location Address
First Line	:	1064 BREEDLOVE ST
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38107-2805
Country	:	US
Telephone Number	:	901-515-5400
Fax Number	:	901-526-1208

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

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	03/25/2010

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