Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301112235 | MI |
N | 111NI0900X | Internist | 4301112235 | MI |
Y | 207R00000X | Internist | E-14437 | AR |
Y | 111NI0900X | Internist | E-14437 | AR |
N | 207RH0003X | Hematology & Oncology | E-14437 | AR |
NPI | 1053848457 |
---|---|
Provider Name | Hasan Rana |
First Address | Little Rock, AR 72225-1420 |
Second Address | Little Rock, AR 72205-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2017 |
Last Update Date | 05/08/2021 |