Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 45990 | AZ |
NPI | 1023261575 |
---|---|
Provider Name | Abbas A Rana |
First Address | Tucson, AZ 85724-5066 |
Second Address | Tucson, AZ 85724-5066 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 25/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Z154026 | (02) | AZ |