Healthcare Provider Details

I. General information

NPI: 1558341792
Provider Name (Legal Business Name): SUKHVINDER S RANU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE KINGS COUNTY HOSPITAL CENTER
BROOKLYN NY
11203-2057
US

IV. Provider business mailing address

78 BEDFORD AVE
GARDEN CITY PARK NY
11040-5145
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-7379
  • Fax: 718-245-2141
Mailing address:
  • Phone: 516-873-0772
  • Fax: 516-873-0772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number001432
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: