MEDICARE: ABDUL RANA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		WV
2	207RP1001X	Pulmonary Disease Physician	036.165957	IL
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD-52590	IA
4	207RP1001X	Pulmonary Disease Physician	MD-52590	IA
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036.165957	IL

General Provider Information

NPI Number	:	1356837363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDUL RANA MD

Provider Business Mailing Address
First Line	:	2560 24TH ST STE 102
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5389
Country	:	US
Telephone Number	:	309-779-7856
Fax Number	:	309-779-3624

Provider Business Practice Location Address
First Line	:	2560 24TH ST STE 102
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5389
Country	:	US
Telephone Number	:	309-779-7856
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2018
Last Update Date	:	02/19/2025

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