Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rangarajan Purushothaman

Individual provider Diagnostic Radiology Physician · NPI 1114587623

Dr. Rangarajan Purushothaman is a Diagnostic Radiology in Little Rock, Arkansas. Qualified in 2014, 12 years ago. Practices with Blue Ridge Radiology PC, a 79-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas and Tennessee.

Years since qualifying
12
Licensed in
AR, TN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4301 W Markham St # 556
Little Rock, AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 526-5148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 550 University Blvd Rm 663, Indianapolis, IN 46202-5149 — (317) 274-1866
  • 410 N State Of Franklin Rd Ste 135b, Johnson City, TN 37604-6972 — (423) 431-4866

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence E-17197 (AR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 74045 (TN)

Record details

NPI number1114587623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Blue Ridge Radiology Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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