Healthcare Provider Details

I. General information

NPI: 1871054031
Provider Name (Legal Business Name): VISHAL PRAVIN RANA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 66TH RD
FOREST HILLS NY
11375-2029
US

IV. Provider business mailing address

41 E POST RD
WHITE PLAINS NY
10601-4699
US

V. Phone/Fax

Practice location:
  • Phone: 718-830-4000
  • Fax:
Mailing address:
  • Phone: 914-681-1174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number317802
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number317802
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number317802
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: