Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35.092324 | OH |
NPI | 1003080490 |
---|---|
Provider Name | Abid I Rana |
First Address | Dublin, OH 43016-4144 |
Second Address | Dublin, OH 43016-9600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2008 |
Last Update Date | 28/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2911068 | (05) | OH |
35.092324 | LICENSE (01) | OH |