Healthcare Provider Details

I. General information

NPI: 1215257357
Provider Name (Legal Business Name): ZAIGHUM RANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 PROSPECT AVE STE 110
HUDSON NY
12534-2928
US

IV. Provider business mailing address

71 PROSPECT AVE STE 110
HUDSON NY
12534-2928
US

V. Phone/Fax

Practice location:
  • Phone: 518-697-8191
  • Fax: 518-697-5353
Mailing address:
  • Phone: 518-697-8191
  • Fax: 518-697-5353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number25955
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number273558
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number343517-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: