IndividualActive
Ayyappa Mysore Rangaraju, MD
NPI 1093059925 · Gastroenterology Physician · Clovis, NM
Provider details
- NPI number
- 1093059925
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD2017-0029 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2421 W 21st St Ste B
Clovis, NM 88101-2006
Phone: (575) 769-7577
Fax: (575) 742-7856
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 26666
Albuquerque, NM 87125-6666
Additional practice locations (1)
- 1545 Atlantic AnenueInterfaith Medical CenterBrooklyn, NY 11213Phone: (718) 613-4072
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2017-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.