RK Illango, MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2013-0749 Issued in NM

Legal business name

RK ILLANGO, MD, INC

Practice address

719 W Apache St
Farmington, NM 87401-5512

Phone

(614) 309-1265

NPI assigned

Nov 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ramanathan K Illango, MD

Title

Owner

Phone

(614) 309-1265

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1497268015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015512",
            "telephone_number": "614-309-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015512",
            "telephone_number": "614-309-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RK ILLANGO, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ILLANGO",
        "authorized_official_first_name": "RAMANATHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-309-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2013-0749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XX",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna B Riley, LADAC LPCC
• Lisa Ringenberg, CNP
• Meghan Louise Ritz, PA-C
• Camille Rivera, M.D.
• Rivers in the Desert Eye Clinic
• James Robb, FNP-C
• Robert Thompson DDS PC
• Casey C Roberts, PA-C
• Catherine Michelle Roberts, LCSW, CCM
• Emily Ruth Roberts, BS, MS,

• Internal Medicine Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.