Healthcare Provider Details

I. General information

NPI: 1114694346
Provider Name (Legal Business Name): RANA REDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18861 UNIVERSITY BLVD
SUGAR LAND TX
77479-5155
US

IV. Provider business mailing address

18861 UNIVERSITY BLVD
SUGAR LAND TX
77479-5155
US

V. Phone/Fax

Practice location:
  • Phone: 832-342-9649
  • Fax:
Mailing address:
  • Phone: 832-342-9649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number74252
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10197803-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: