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NPI Code Detail

MEDICARE: JATIN MADHUSUDAN RANA MD

MEDICARE: JATIN MADHUSUDAN RANA 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
1207Q00000XFamily Medicine Physician036134321IL
2207Q00000XFamily Medicine Physician01072920AIN
3207Q00000XFamily Medicine Physician66839CT

General Provider Information

NPI Number : 1952693798
Entity Type Code : Individual
Provider Name (Legal Business Name) : JATIN MADHUSUDAN RANA MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 311 W. FAIRCHILD ST.
Second Line :
City : DANVILLE
State : IL
Zip : 61832-3803
Country : US
Telephone Number : 217-431-7600
Fax Number : 217-431-7850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2011
Last Update Date : 02/03/2023

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Directions to “ JATIN MADHUSUDAN RANA MD” Practice Location

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