Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 27055 | NY |
N | 111NI0900X | Internist | 27055 | NY |
Y | 207RG0300X | Geriatric Medicine | 247055 | NY |
NPI | 1114199171 |
---|---|
Provider Name | Mrs. Anjana Rana |
First Address | Jasper, FL 32052-7801 |
Second Address | Jasper, FL 32052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2008 |
Last Update Date | 08/09/2016 |