Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301091302 | MI |
Y | 2080N0001X | Neonatal-Perinatal Doctor | P4236 | TX |
NPI | 1033387212 |
---|---|
Provider Name | Sharayu V Rane |
First Address | Beaumont, TX 77720-0236 |
Second Address | Abilene, TX 79606-5215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2008 |
Last Update Date | 20/06/2019 |