Provider Demographics
NPI:1922101930
Name:RANA, SHAHNAZ I (MD)
Entity Type:Individual
Prefix:MRS
First Name:SHAHNAZ
Middle Name:I
Last Name:RANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAHNAZ
Other - Middle Name:I
Other - Last Name:RANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5049
Mailing Address - Street 2:100 NEWHOPE RD STE 208
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740
Mailing Address - Country:US
Mailing Address - Phone:304-425-8707
Mailing Address - Fax:304-425-8707
Practice Address - Street 1:100 NEWHOPE RD STE 208
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740
Practice Address - Country:US
Practice Address - Phone:304-425-8707
Practice Address - Fax:304-425-8707
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV12731207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1288004OtherUMVA
WV0083878000Medicaid
1288004OtherUMVA
WV0083878000Medicaid