Provider Demographics
NPI:1992037436
Name:SUNIL RANA, MD PC
Entity Type:Organization
Organization Name:SUNIL RANA, MD PC
Other - Org Name:SUNIL RANA, M.D., P.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-869-7704
Mailing Address - Street 1:49 LAKE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-4519
Mailing Address - Country:US
Mailing Address - Phone:203-869-7704
Mailing Address - Fax:203-661-8596
Practice Address - Street 1:49 LAKE AVE STE 2
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-4519
Practice Address - Country:US
Practice Address - Phone:203-869-7704
Practice Address - Fax:203-661-8596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD100011424Medicare PIN