Provider Demographics
NPI:1649665498
Name:ELETRIBY, RANA (MD)
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:ELETRIBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RANA
Other - Middle Name:
Other - Last Name:EL-ETRIBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67 S. BEDFORD STREET
Mailing Address - Street 2:LAHEY HOSPITAL AND MEDICAL CENTER
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803
Mailing Address - Country:US
Mailing Address - Phone:781-744-7000
Mailing Address - Fax:781-744-5351
Practice Address - Street 1:67 S. BEDFORD STREET
Practice Address - Street 2:LAHEY HOSPITAL AND MEDICAL CENTER
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803
Practice Address - Country:US
Practice Address - Phone:781-744-7000
Practice Address - Fax:781-744-5351
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273551207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine