Provider Demographics
NPI:1326102328
Name:RANA, GARY S (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:S
Last Name:RANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GURCHARAN
Other - Middle Name:S
Other - Last Name:RANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:125 N DEVEREUX CT NW
Mailing Address - Street 2:NW
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4351
Mailing Address - Country:US
Mailing Address - Phone:404-414-3297
Mailing Address - Fax:404-236-0215
Practice Address - Street 1:125 N DEVEREUX CT NW
Practice Address - Street 2:NW
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-4351
Practice Address - Country:US
Practice Address - Phone:404-414-3297
Practice Address - Fax:404-236-0215
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA46207RH0003X
CAA 29749207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology