Provider Demographics
NPI:1538573068
Name:RANA, SAURABH (MD)
Entity type:Individual
Prefix:DR
First Name:SAURABH
Middle Name:
Last Name:RANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 S GLOSTER ST
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-4934
Mailing Address - Country:US
Mailing Address - Phone:662-377-2539
Mailing Address - Fax:662-377-2920
Practice Address - Street 1:5005 N PIEDRAS STREET, ATTN; DOM/IMPROGRAM
Practice Address - Street 2:WBAMC
Practice Address - City:EL APASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-742-2180
Practice Address - Fax:915-742-3238
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUM-2084207R00000X
WI67606-20207R00000X
390200000X
CA170135207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program