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NPI Code Detail

MEDICARE: SHEENA RANADE MD

MEDICARE: SHEENA RANADE 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
1208000000XPediatrics PhysicianME156825FL
2390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457918591
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEENA RANADE MD
Provider Business Mailing Address
First Line : 6749 ABBYWOOD LN
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33541-2591
Country : US
Telephone Number : 732-447-8118
Fax Number :
Provider Business Practice Location Address
First Line : 801 E BAKER ST
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-3652
Country : US
Telephone Number : 813-653-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2019
Last Update Date : 08/17/2022

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