Provider Demographics
NPI:1316930274
Name:RANGI, NAVTEJ SINGH (MD)
Entity type:Individual
Prefix:
First Name:NAVTEJ
Middle Name:SINGH
Last Name:RANGI
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:PO BOX 12484
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-2484
Mailing Address - Country:US
Mailing Address - Phone:318-448-1041
Mailing Address - Fax:318-448-0865
Practice Address - Street 1:2108 TEXAS AVE
Practice Address - Street 2:SUITE 2061
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3944
Practice Address - Country:US
Practice Address - Phone:318-448-1041
Practice Address - Fax:318-448-0865
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06384R207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1338869Medicaid
LA1338869Medicaid
LA5L082Medicare PIN