Provider Demographics
NPI:1356579247
Name:RANJAN, PRITI (MD)
Entity type:Individual
Prefix:DR
First Name:PRITI
Middle Name:
Last Name:RANJAN
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 1:4920 MCDERMOTT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7769
Mailing Address - Country:US
Mailing Address - Phone:972-200-5666
Mailing Address - Fax:469-250-5460
Practice Address - Street 1:4920 MCDERMOTT RD STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7769
Practice Address - Country:US
Practice Address - Phone:972-200-5666
Practice Address - Fax:469-250-5460
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine