Healthcare Provider Details

I. General information

NPI: 1588617823
Provider Name (Legal Business Name): RANJIT CHUNILAL RANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 N VAN DIEN AVE
RIDGEWOOD NJ
07450-2726
US

IV. Provider business mailing address

11 HOWARD AVE
CLIFTON NJ
07013-3012
US

V. Phone/Fax

Practice location:
  • Phone: 973-471-5621
  • Fax: 201-447-8491
Mailing address:
  • Phone: 973-471-5621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA05765600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: