Provider Demographics
NPI:1184886749
Name:KHARRUBI, RANI M (MD)
Entity type:Individual
Prefix:DR
First Name:RANI
Middle Name:M
Last Name:KHARRUBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RANI
Other - Middle Name:M
Other - Last Name:KHARRUBI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1701 W CHARLESTON BLVD
Mailing Address - Street 2:#215
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2325
Mailing Address - Country:US
Mailing Address - Phone:702-671-2355
Mailing Address - Fax:702-382-5388
Practice Address - Street 1:1800 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2329
Practice Address - Country:US
Practice Address - Phone:702-671-2200
Practice Address - Fax:702-385-7719
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13974208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1184601239Medicaid
NVVWQBHVMedicare PIN
NVFH023ZMedicare UPIN