Healthcare Provider Details

I. General information

NPI: 1417699521
Provider Name (Legal Business Name): GULL RANA AHMAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GULLRANA AHMAD MD

II. Dates (important events)

Enumeration Date: 04/09/2022
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 E HERNDON AVE
FRESNO CA
93720-3309
US

IV. Provider business mailing address

1303 E HERNDON AVE
FRESNO CA
93720-3309
US

V. Phone/Fax

Practice location:
  • Phone: 559-450-5375
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number37196
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number37196
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number18979
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: