Provider Demographics
NPI:1114199171
Name:RANA, ANJANA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANJANA
Middle Name:
Last Name:RANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ANJANA
Other - Middle Name:
Other - Last Name:RANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:413 5TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:FL
Mailing Address - Zip Code:32052-7801
Mailing Address - Country:US
Mailing Address - Phone:931-529-1425
Mailing Address - Fax:931-372-8493
Practice Address - Street 1:413 NW 5TH AVE
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:FL
Practice Address - Zip Code:32052
Practice Address - Country:US
Practice Address - Phone:386-792-2985
Practice Address - Fax:386-792-0833
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100798207R00000X
NY247055207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine