Provider Demographics
NPI:1225193816
Name:RICHARD C RANARD MD PC
Entity Type:Organization
Organization Name:RICHARD C RANARD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:RANARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-560-3510
Mailing Address - Street 1:3020 HAMAKER CT
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2238
Mailing Address - Country:US
Mailing Address - Phone:703-560-3510
Mailing Address - Fax:703-876-0253
Practice Address - Street 1:3020 HAMAKER CT
Practice Address - Street 2:SUITE 102
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2238
Practice Address - Country:US
Practice Address - Phone:703-560-3510
Practice Address - Fax:703-876-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101036497207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC00B407R25Medicare PIN
DCC62468Medicare UPIN
DC00B408R25Medicare PIN
DCB92750Medicare UPIN
DCG01025Medicare PIN