Basic Information
Provider Information
NPI: 1194927426
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RANGAN
FirstName: YASHASWINI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 636799
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452636799
CountryCode: US
TelephoneNumber: 5135695027
FaxNumber: 5135695199
Practice Location
Address1: 375 DIXMYTH AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452202475
CountryCode: US
TelephoneNumber: 5138623452
FaxNumber: 5138623421
Other Information
ProviderEnumerationDate: 05/31/2007
LastUpdateDate: 10/26/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X35.122587OHY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X35122587OHN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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