Provider Demographics
NPI:1851912836
Name:RATNA, HARAN NATHAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:HARAN
Middle Name:NATHAN
Last Name:RATNA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13528 114TH PL
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-3611
Mailing Address - Country:US
Mailing Address - Phone:516-987-1408
Mailing Address - Fax:
Practice Address - Street 1:325 W PARK AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3223
Practice Address - Country:US
Practice Address - Phone:516-987-1408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY325433-01207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine