Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01081893A | IN |
N | 111NI0900X | Internist | 01081893A | IN |
N | 207R00000X | Internist | 137539 | CA |
N | 111NI0900X | Internist | 137539 | CA |
Y | 207RH0003X | Hematology & Oncology | 01081893A | IN |
NPI | 1013282243 |
---|---|
Provider Name | Harsha Avinash Ranganath |
First Address | Detroit, MI 48278-1076 |
Second Address | Indianapolis, IN 46237-8601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2012 |
Last Update Date | 16/03/2021 |