Provider Demographics
NPI:1801010194
Name:RANA, PAURAVI JAYANT (MD)
Entity Type:Individual
Prefix:DR
First Name:PAURAVI
Middle Name:JAYANT
Last Name:RANA
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 1:1600 W. 38TH STREET
Mailing Address - Street 2:SUITE 428
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:512-454-3685
Mailing Address - Fax:512-454-3689
Practice Address - Street 1:1600 W. 38TH STREET
Practice Address - Street 2:SUITE 428
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-454-3685
Practice Address - Fax:512-454-3689
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH83442084P0800X, 2084P0804X
MO20230168412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry