MEDICARE: REHANA PIRANI MD

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
1	207Q00000X	Family Medicine Physician	MD470810	PA

General Provider Information

NPI Number	:	1417479791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REHANA PIRANI MD

Provider Business Mailing Address
First Line	:	5753 WAYNE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-3347
Country	:	US
Telephone Number	:	215-848-8800
Fax Number	:	215-848-6036

Provider Business Practice Location Address
First Line	:	5753 WAYNE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-3347
Country	:	US
Telephone Number	:	215-848-8800
Fax Number	:	215-848-6036

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2017
Last Update Date	:	07/21/2022

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