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NPI Code Detail

MEDICARE: HIRA RANA DMD

MEDICARE:   HIRA  RANA  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN015118GA
21223G0001XGeneral Practice DentistryDN015118GA

General Provider Information

NPI Number : 1396103537
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIRA RANA DMD
Provider Business Mailing Address
First Line : 1721 POWDER SPRINGS RD SW
Second Line : SUITE 103
City : MARIETTA
State : GA
Zip : 30064-4879
Country : US
Telephone Number : 770-293-0605
Fax Number :
Provider Business Practice Location Address
First Line : 1721 POWDER SPRINGS RD SW
Second Line : SUITE 103
City : MARIETTA
State : GA
Zip : 30064-4879
Country : US
Telephone Number : 770-293-0605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2016
Last Update Date : 02/02/2016

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Directions to “ HIRA RANA DMD” Practice Location

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