MEDICARE: DR. SHREYAS KANU RANA 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	207QA0505X	Adult Medicine Physician	1427850	WI

General Provider Information

NPI Number	:	1861564908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHREYAS KANU RANA M.D.

Provider Business Mailing Address
First Line	:	2150 WEHRLE DR STE 100
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7099
Country	:	US
Telephone Number	:	716-216-0661
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 WEHRLE DR STE 100
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7099
Country	:	US
Telephone Number	:	716-216-0661
Fax Number	:

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	08/02/2023

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