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

Individual provider Internal Medicine Physician · NPI 1588690879

Dr. Venkatappa Rangaraj, MD is an Internal Medicine in Cumming, Georgia. Qualified in 2001, 25 years ago. Practices with Blackpool LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
25
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4415 Frnt Nine DR Ste 600
Cumming, GA 30041-6239
Phone: (770) 744-7688
Fax: (770) 406-1058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 058633 (GA)

Record details

NPI number1588690879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2006
Last updated in NPPESFebruary 11, 2023
Certification dateFebruary 11, 2023
Mailing address4415 Front Nine Dr Ste 600, Cumming, GA 30041-6239

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Blackpool Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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