Provider Demographics
NPI:1346273737
Name:RANA, PREETI (MD)
Entity Type:Individual
Prefix:DR
First Name:PREETI
Middle Name:
Last Name:RANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1985 AIKEN HILL CT
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-1548
Mailing Address - Country:US
Mailing Address - Phone:703-444-1612
Mailing Address - Fax:703-444-4548
Practice Address - Street 1:611 S CARLIN SPRINGS RD
Practice Address - Street 2:STE 301
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1086
Practice Address - Country:US
Practice Address - Phone:703-998-0480
Practice Address - Fax:703-888-2971
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101237018207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010256305Medicaid
DCI31409Medicare UPIN