Healthcare Provider Details

I. General information

NPI: 1285843169
Provider Name (Legal Business Name): MAHMOOD M RANA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

886 WASHINGTON ST SUITE 4
NORWOOD MA
02062
US

IV. Provider business mailing address

960 MASSACHUSETTS AVE SUITE 4
BOSTON MA
02118
US

V. Phone/Fax

Practice location:
  • Phone: 781-780-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number230678
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number230678
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: