Healthcare Provider Details

I. General information

NPI: 1194745489
Provider Name (Legal Business Name): HAMZA RANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15225 SHADY GROVE RD STE 201
ROCKVILLE MD
20850-3278
US

IV. Provider business mailing address

646 NALLS FARM WAY
GREAT FALLS VA
22066-1146
US

V. Phone/Fax

Practice location:
  • Phone: 301-670-3000
  • Fax:
Mailing address:
  • Phone: 609-412-0734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License NumberD0076113
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number22091
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD007613
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: