Provider Demographics
NPI:1376982769
Name:EMAM, RANA MOHAMED MAMDOUH AMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RANA
Middle Name:MOHAMED MAMDOUH AMIN
Last Name:EMAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RANA
Other - Middle Name:MOHAMED MAMDOUH
Other - Last Name:AMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:NYPH, PSYCHIATRY DEPARTMENT, BOX 140
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:347-824-9311
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:NYPH, PSYCHIATRY DEPARTMENT, BOX 140
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:347-824-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program