Healthcare Provider Details

I. General information

NPI: 1508393935
Provider Name (Legal Business Name): RANA DOULI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 EAST 149TH STREET
BRONX NY
10451
US

IV. Provider business mailing address

95-25 QUEEN BLVD SUITE 501
REGO PARK NY
11374
US

V. Phone/Fax

Practice location:
  • Phone: 718-579-5874
  • Fax:
Mailing address:
  • Phone: 718-460-2300
  • Fax: 866-699-0034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number326732-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number326732-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: