MEDICARE: PARVEEN RANJAN M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	18998	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AZ0325070	OTHER	AZ	BLUE CROSS

General Provider Information

NPI Number	:	1659434702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARVEEN RANJAN M.D.

Provider Business Mailing Address
First Line	:	9250 N 3RD STREET
Second Line	:	SUITE 4000
City	:	PHOENIX
State	:	AZ
Zip	:	85020-2412
Country	:	US
Telephone Number	:	602-633-3800
Fax Number	:	602-861-3500

Provider Business Practice Location Address
First Line	:	9250 N 3RD STREET
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-2412
Country	:	US
Telephone Number	:	602-633-3800
Fax Number	:	602-861-3500

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

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	08/09/2012

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Directions to “ PARVEEN RANJAN M.D.” Practice Location

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