Provider Demographics
NPI:1902008386
Name:GARDNER, RANI HALEY (MD)
Entity Type:Individual
Prefix:DR
First Name:RANI
Middle Name:HALEY
Last Name:GARDNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RANI
Other - Middle Name:HALEY
Other - Last Name:LINDBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4301 W MARKHAM ST # 602
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-221-1311
Mailing Address - Fax:501-225-0627
Practice Address - Street 1:4301 W MARKHAM ST # 602
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-221-1311
Practice Address - Fax:501-225-0627
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ARE-7014208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program