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General NPI Number Information
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NPI Number | 1124011366
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Entity Type | Individual
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Provider Name | KISHORE N RANADE MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 672 STONELEIGH AVE
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City | CARMEL
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State | NY
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Zip | 10512-3997
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Country | US
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Telephone | 845-279-9000
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Fax | 845-279-4141
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Provider Business Mailing Address
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Address Line | 672 STONELEIGH AVE
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City | CARMEL
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State | NY
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Zip | 10512-3997
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Country | US
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Telephone | 845-279-9000
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Fax | 845-279-4141
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A1693881
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 029705
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 169388
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License Number State | NY
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