Individual provider Active NPI

Ranjana Gottipati, MBBS, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Midwest City, OK
National Provider Identifier
1386785582
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
24435 Issued in OK
Practice address
2825 Parklawn Drive
Midwest Region Medical Center
Midwest City, OK 73110-5020
Phone
(405) 610-8160
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 24435 OK Primary

Addresses

Primary practice location

2825 Parklawn Drive
Midwest Region Medical Center
Midwest City, OK 73110-5020

Mailing address

225 NE 97TH St
Suite 600
Oklahoma City, OK 73114-6302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24435OKMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1386785582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NE 97TH ST",
            "address_2": "SUITE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 PARKLAWN DRIVE",
            "address_2": "MIDWEST REGION MEDICAL CENTER",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105020",
            "telephone_number": "405-610-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTIPATI",
        "first_name": "RANJANA",
        "name_prefix": "Dr.",
        "credential": "MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "24435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.