Search › New Mexico › 207RG0100X
Ayyappa Mysore Rangaraju, MD
NPI 1093059925 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2421 W 21st St Ste B
Clovis, NM 88101 - Phone
- (575) 769-7577
- Fax
- (575) 742-7856
- Organisation at this address
- Presbyterian Healthcare Services
Surgery Center Of Eastern New Mexico LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 1545 Atlantic Anenue, Brooklyn, NY
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico