Provider Demographics
NPI:1720681018
Name:RANGANI, ARVIND
Entity type:Individual
Prefix:
First Name:ARVIND
Middle Name:
Last Name:RANGANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5624 WESTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-3712
Mailing Address - Country:US
Mailing Address - Phone:214-616-2911
Mailing Address - Fax:
Practice Address - Street 1:6749 MAIN ST
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-1647
Practice Address - Country:US
Practice Address - Phone:972-625-3207
Practice Address - Fax:972-625-6637
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist