Provider Demographics
NPI:1649478322
Name:NARESH RANA MD PA
Entity type:Organization
Organization Name:NARESH RANA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NARESH
Authorized Official - Middle Name:
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-743-7707
Mailing Address - Street 1:627 ALBERTA DR
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4801
Mailing Address - Country:US
Mailing Address - Phone:973-743-7707
Mailing Address - Fax:973-743-7808
Practice Address - Street 1:733 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2545
Practice Address - Country:US
Practice Address - Phone:973-743-7707
Practice Address - Fax:973-743-7808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA52992207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ118118OtherMEDICARE ID
NJ5014301Medicaid
NJ5014301Medicaid
NJ118118OtherMEDICARE ID