Provider Demographics
NPI:1902830946
Name:RANE, NISHIGANDHA (MD)
Entity Type:Individual
Prefix:
First Name:NISHIGANDHA
Middle Name:
Last Name:RANE
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 1:3000 N. IH 35, SUITE 770
Mailing Address - Street 2:MEDNAX HEALTH SOLUTIONS PARTNER
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705
Mailing Address - Country:US
Mailing Address - Phone:512-482-8880
Mailing Address - Fax:512-482-8862
Practice Address - Street 1:3000 N. IH 35, SUITE 770
Practice Address - Street 2:MEDNAX HEALTH SOLUTIONS PARTNER
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-482-8880
Practice Address - Fax:512-482-8862
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8272208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX209911101Medicaid
TX209911101Medicaid
248426715Medicare ID - Type Unspecified