Provider Demographics
NPI:1629474283
Name:RANI MEDICAL, PC
Entity type:Organization
Organization Name:RANI MEDICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PRAMOD
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-989-2559
Mailing Address - Street 1:2336 GRAND CONCOURSE STE 1A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-6903
Mailing Address - Country:US
Mailing Address - Phone:718-220-0439
Mailing Address - Fax:718-933-2914
Practice Address - Street 1:2336 GRAND CONCOURSE STE 1A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-6903
Practice Address - Country:US
Practice Address - Phone:718-220-0439
Practice Address - Fax:718-933-2914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-10
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272095207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty