Healthcare Provider Details

I. General information

NPI: 1093547267
Provider Name (Legal Business Name): AMINA GUL RANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2024
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TTUHSC DEPARTMENT OF INFECTIOUS DISEASES 3601 4TH STREET
LUBBOCK TX
79430
US

IV. Provider business mailing address

TTUHSC DEPARTMENT OF INFECTIOUS DISEASES, 3601 4TH STREET
LUBBOCK TX
79430
US

V. Phone/Fax

Practice location:
  • Phone: 806-743-1088
  • Fax: 806-743-3143
Mailing address:
  • Phone: 806-743-1088
  • Fax: 806-743-3143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: