Basic Information
Provider Information
NPI: 1073975355
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RANGWANI
FirstName: NEIL
MiddleName: H.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18101 LORAIN AVE # FV5P-39
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441115612
CountryCode: US
TelephoneNumber: 2166882727
FaxNumber:  
Practice Location
Address1: 9500 EUCLID AVE
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441951240
CountryCode: US
TelephoneNumber: 2164442200
FaxNumber: 6143662360
Other Information
ProviderEnumerationDate: 03/24/2016
LastUpdateDate: 10/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X35.136590OHY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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