Provider Demographics
NPI:1396916284
Name:SETAL RANA MD PA
Entity type:Organization
Organization Name:SETAL RANA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SETAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-398-0678
Mailing Address - Street 1:8202 ELAM RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-4509
Mailing Address - Country:US
Mailing Address - Phone:214-398-0678
Mailing Address - Fax:214-398-0102
Practice Address - Street 1:8202 ELAM RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-4509
Practice Address - Country:US
Practice Address - Phone:214-398-0678
Practice Address - Fax:214-398-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8270207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX196968501Medicaid
0081RLOtherBLUE CROSS BLUE SHIELD
TX196968501Medicaid