Provider Demographics
NPI:1265443618
Name:LOUTFI, RANIA H (MD)
Entity type:Individual
Prefix:
First Name:RANIA
Middle Name:H
Last Name:LOUTFI
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 1:1 FEDERAL ST # 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:2 COOPER PLZ
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:855-632-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08081900208M00000X, 207RH0002X
NJMA080819207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
44132OtherUNIVERSITY HEALTH PLAN
3K6229OtherHEALTHNET
2798670000OtherAMERIHEALTH, HMO, KEYSTONE, IBC
P00381177OtherRAIL ROAD MEDICARE
1376273OtherAETNA US-HEALTHCARE
6761897OtherCIGNA
01007800000OtherAMERICHOICE
NJ0118460Medicaid
60027465OtherHORIZON NJ HEALTH
NJ105027 B67Medicare PIN