Healthcare Provider Details
I. General information
NPI: 1922508530
Provider Name (Legal Business Name): HARKARAN SINGH RANA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/20/2018
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9040 JACKSON AVE
TACOMA WA
98431-4030
US
IV. Provider business mailing address
9040 JACKSON AVE
TACOMA WA
98431-0001
US
V. Phone/Fax
- Phone: 253-968-2252
- Fax:
- Phone: 253-968-2252
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | 0102206073 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207WX0200X |
| Taxonomy | Ophthalmic Plastic and Reconstructive Surgery Physician |
| License Number | DR.0070178 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: