Provider Demographics
NPI:1598748485
Name:RANI, BEEMA (MD)
Entity Type:Individual
Prefix:DR
First Name:BEEMA
Middle Name:
Last Name:RANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2007
Mailing Address - Country:US
Mailing Address - Phone:610-567-6964
Mailing Address - Fax:610-567-6170
Practice Address - Street 1:501 S 54TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-1900
Practice Address - Country:US
Practice Address - Phone:215-748-9707
Practice Address - Fax:215-748-9708
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2230099000OtherKEYSTONE HEALTH PLAN
PA1546446OtherBLUE SHIELD
PA30008577OtherKEYSTONE MERCY
PA7941233OtherAETNA PPO
PA1008432920002Medicaid
PA3530375OtherAETNA HMO
PA1008432920002Medicaid
PAP00096464Medicare PIN