Provider Demographics
NPI:1518780493
Name:ATAPATTU, RANGA
Entity type:Individual
Prefix:
First Name:RANGA
Middle Name:
Last Name:ATAPATTU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 N CHAPEL GATE LN APT C
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2426
Mailing Address - Country:US
Mailing Address - Phone:203-605-4152
Mailing Address - Fax:
Practice Address - Street 1:1300 W 36TH ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2303
Practice Address - Country:US
Practice Address - Phone:667-207-6289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool