Provider Demographics
NPI:1356320329
Name:RANA, JATINDER S (MD)
Entity Type:Individual
Prefix:
First Name:JATINDER
Middle Name:S
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:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-0688
Mailing Address - Country:US
Mailing Address - Phone:419-447-0269
Mailing Address - Fax:419-447-0285
Practice Address - Street 1:668 MIAMI ST
Practice Address - Street 2:SUITE B
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-1934
Practice Address - Country:US
Practice Address - Phone:419-447-0269
Practice Address - Fax:419-447-0285
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0762572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00157770OtherRAILROAD MEDICARE
OH2196458Medicaid
OHP00157770OtherRAILROAD MEDICARE
OH2196458Medicaid
OHH01733Medicare UPIN