Healthcare Provider Details

I. General information

NPI: 1811351992
Provider Name (Legal Business Name): PAULINDER RANU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5557 E KING CYN RD
FRESNO CA
93727
US

IV. Provider business mailing address

5557 E KING CYN RD
FRESNO CA
93727-4528
US

V. Phone/Fax

Practice location:
  • Phone: 559-251-7505
  • Fax:
Mailing address:
  • Phone: 559-251-7505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA157613
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: