Provider Demographics
NPI:1477242535
Name:BI, RAN
Entity type:Individual
Prefix:
First Name:RAN
Middle Name:
Last Name:BI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 W. SHERMAN AVE.
Mailing Address - Street 2:BOX 93
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360
Mailing Address - Country:US
Mailing Address - Phone:856-641-8662
Mailing Address - Fax:856-575-4944
Practice Address - Street 1:1505 W. SHERMAN AVE.
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-641-8662
Practice Address - Fax:856-575-4944
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2025-02-25
Deactivation Date:2023-12-07
Deactivation Code:
Reactivation Date:2025-02-25
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program