Healthcare Provider Details

I. General information

NPI: 1629474283
Provider Name (Legal Business Name): RANI MEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 05/19/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2336 GRAND CONCOURSE STE 1A
BRONX NY
10458-6903
US

IV. Provider business mailing address

2336 GRAND CONCOURSE STE 1A
BRONX NY
10458-6903
US

V. Phone/Fax

Practice location:
  • Phone: 718-220-0439
  • Fax: 718-933-2914
Mailing address:
  • Phone: 718-220-0439
  • Fax: 718-933-2914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number272095
License Number StateNY

VIII. Authorized Official

Name: PRAMOD SANGHI
Title or Position: PRESIDENT
Credential:
Phone: 347-989-2559