Provider Demographics
NPI:1588681126
Name:RANA, GERALD D II (DO)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:D
Last Name:RANA
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:810 HIGHWAY 2 N
Mailing Address - Street 2:
Mailing Address - City:WILBURTON
Mailing Address - State:OK
Mailing Address - Zip Code:74578-3625
Mailing Address - Country:US
Mailing Address - Phone:918-465-0170
Mailing Address - Fax:918-465-4830
Practice Address - Street 1:810 HIGHWAY 2 N
Practice Address - Street 2:
Practice Address - City:WILBURTON
Practice Address - State:OK
Practice Address - Zip Code:74578-3625
Practice Address - Country:US
Practice Address - Phone:918-465-0170
Practice Address - Fax:918-465-4830
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK3417207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200074810AMedicaid
OK100214030FMedicaid
OK100214030GOtherSOONERCARE
OK100214030EMedicaid
OK100214030GOtherSOONERCARE