Jai Kumar Rangappa | Rockville, MD • PECOS Search

Jai Kumar Rangappa

Anesthesiology

Allopathic & Osteopathic Physicians

15001 Shady Grove Rd Ste 120, Rockville, MD 20850-6354

PECOS Enrollment

Based on the most recent information from CMS, provider Jai Kumar Rangappa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1407184757
Provider Type
Individual
Full Name
Rangappa, Jai Kumar
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/25/2009
Last Updated
11/25/2009

Contact Information

Practice Location

15001 Shady Grove Rd Ste 120, Rockville, MD 20850-6354

Unlisted Fax

Mailing Location

15001 Shady Grove Rd Ste 120, Rockville, MD 20850-6354

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License D016253 Maryland