Most Relevant Information
Provider Data
| NPI Number: | 1003832304 |
| Provider Name: | PRABHA RANGANATHAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RR0500X |
| Specialty: | Internal Medicine |
| License Number: | 106169 |
Most Important Dates
| Enumeration Date: | 07/14/2006 |
| Last Updated: | 04/25/2024 |
Provider Practice Location
4921 PARKVIEW PL
DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS
MO
631101032
Practice Location Phone/Fax
| Phone: | 3142862635 |
| Fax: | 3142862338 |
Provider Mailing Location
PO BOX 60352
SAINT LOUIS
MO
631600352
Provider Mailing Phone/Fax
| Phone: | 3142862635 |
| Fax: | 3142862338 |
Suggested EMR
Rheumatologist EMR