Provider Demographics
NPI:1518256577
Name:MADY, RANA J (MD)
Entity Type:Individual
Prefix:DR
First Name:RANA
Middle Name:J
Last Name:MADY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RANA
Other - Middle Name:J
Other - Last Name:MADY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:601 RTE 37 W
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8050
Mailing Address - Country:US
Mailing Address - Phone:732-244-4400
Mailing Address - Fax:732-505-2171
Practice Address - Street 1:601 RTE 37 W
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8050
Practice Address - Country:US
Practice Address - Phone:732-244-4400
Practice Address - Fax:732-505-2171
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09864400207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology