1501 S MADISON ST
APPLETON, WI 54915-1846 US PECOS Enrolled
Aditya Kumar Rangbulla
Internal Medicine Physician
- APPLETON, WI
- Phone: (920)-730-4414
- Last Updated 5/7/2021
Overview
Aditya Kumar Rangbulla is a Internal Medicine Physician in the APPLETON area and has over 28 years of experience. Aditya Kumar Rangbulla primary office location is at 1501 S MADISON ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1996
Aditya Kumar Rangbulla is affiliated with six hospitals in the APPLETON area, including . The NPI number is 1659571867 and the information was updated approximately 3 years ago.
Aditya Kumar Rangbulla is affiliated with one medical group in the APPLETON area, ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 54650 | WI |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | WI | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20101116000964 |
| PECOS Individual PAC ID: | 6002001088 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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