Provider Demographics
NPI:1629713706
Name:RANA RAJU, MD FURHAD (MD)
Entity Type:Individual
Prefix:
First Name:MD FURHAD
Middle Name:
Last Name:RANA RAJU
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 1:10147 132ND ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2348
Mailing Address - Country:US
Mailing Address - Phone:929-336-9259
Mailing Address - Fax:
Practice Address - Street 1:666 KAPPOCK ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-7704
Practice Address - Country:US
Practice Address - Phone:718-549-1203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP115117207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine