AYYAPPA MYSORE RANGARAJU (NPI# 1093059925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093059925 |
| Entity Type | Individual |
| Full Name | AYYAPPA MYSORE RANGARAJU |
| Credential | MD |
| Practice Address |
2421 W 21st St Ste B Clovis NM 88101-2006 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5757697577 |
| Practice Fax Number | 5757427856 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2017-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD2017-0029 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD2017-0029 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 34803548 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1545 Atlantic Anenue, Interfaith Medical Center, Brooklyn, NY 11213 | 7186134072 |
| Street Address |
2421 W 21ST ST STE B |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649688698 | Rishabh Gulati | Internal Medicine | Department of Internal Medicine Msc 10 5550, 1, University of New Mexico, Albuquerque, NM 87131-0001 | 2014-07-22 |
| 1033371307 | Jessica Chloe Ryder | Internal Medicine | 4705 Montgomery Blvd Ne Ste 102, Albuquerque, NM 87109-1246 | 2008-06-27 |
| 1124222401 | Alejandra I Castillo-roth | Internal Medicine | 1691 Galisteo St Ste C, Santa Fe, NM 87505-4781 | 2007-06-12 |
| 1386738763 | Belinda R Mori | Internal Medicine | 3715 Southern Blvd Se, Pmg Gi Southern, Rio Rancho, NM 87124-2080 | 2006-10-03 |
| 1235223629 | Nicholas A Volpicelli | Internal Medicine | 1001 Silver Ave Se Ste 200, Pmg Gi Silver, Albuquerque, NM 87106-4904 | 2006-10-03 |
| 1508978511 | Francisco Colon | Internal Medicine | 940 W Pinon St, Farmington, NM 87401 | 2006-08-31 |
| 1083636641 | Vinod Kumar Singh | Internal Medicine | 5400 Gibson Blvd Se Fl 2, Albuquerque, NM 87108 | 2006-07-24 |
| 1083649297 | Barry A Weiss | Internal Medicine | Pmg At 8300 Constitution - Gi, 8300 Constituiton Ave Ne, Albuquerque, NM 87110 | 2006-07-12 |
| 1922052760 | Crit Hobbs | Internal Medicine | 313 W. Country Club Rd, Suite #15, Roswell, NM 88201 | 2006-05-19 |
| 1538121595 | Denis Matthew Mccarthy | Internal Medicine | Nmvahcs-111f, 1501 San Pedro Blvd. Se, Albuquerque, NM 87108-5153 | 2006-04-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.