Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0101233375 | VA |
NPI | 1033130794 |
---|---|
Provider Name | Dr. Irmindra S Rana |
First Address | Falls Church, VA 22043-1548 |
Second Address | Arlington, VA 22204-1064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 16/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010083869 | (05) | VA |
I02996 | (02) | DC |