Provider Demographics
NPI:1609863380
Name:RANA, NAVEED A (MD)
Entity type:Individual
Prefix:DR
First Name:NAVEED
Middle Name:A
Last Name:RANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 781076
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48278-1076
Mailing Address - Country:US
Mailing Address - Phone:317-528-4800
Mailing Address - Fax:317-865-1479
Practice Address - Street 1:8111 S EMERSON AVE STE 101
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8601
Practice Address - Country:US
Practice Address - Phone:317-859-5252
Practice Address - Fax:317-859-5258
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD11101207R00000X, 207RH0003X
IN01083275A207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI050483739OtherHEALTHNET TRICARE
RI26579-7OtherBCBS OF RI
RI410506OtherBLUE CHIP
RI9026579Medicaid
RI050483739OtherGREAT WEST HEALTH CARE
RIP00082200OtherRAILROAD MEDICARE
RI04-07503OtherUNITED HEALTH CARE
RI28456OtherNEIGHBORHOOD HEALTH PLAN
RI5478477OtherHEALTH CARE VALUE MGMT
RI696180OtherHARVARD HEALTH PLAN
RI011101OtherTUFTS HEALTH PLAN
RI709003710OtherMEDICARE GROUP
RI1479085001OtherCIGNA
RI5478477OtherHEALTH CARE VALUE MGMT
RI011101OtherTUFTS HEALTH PLAN
RIH87949Medicare UPIN