Provider Demographics
NPI:1043278641
Name:RANGARAJ, ARAVIND T (MD)
Entity type:Individual
Prefix:
First Name:ARAVIND
Middle Name:T
Last Name:RANGARAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 BIRD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-1818
Mailing Address - Country:US
Mailing Address - Phone:408-929-5610
Mailing Address - Fax:650-587-1372
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 225
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1588
Practice Address - Country:US
Practice Address - Phone:774-239-1960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227346208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery