Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 101251946 | VA |
NPI | 1124158829 |
---|---|
Provider Name | Zeshan A Rana |
First Address | Fredericksburg, VA 22408-7760 |
Second Address | Fredericksburg, VA 22408-7760 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 27/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101251946 | MEDICAL LICENSE (01) | VA |