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Individual
PRABODH RANJAN
Active
Individual
PRABODH RANJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME99514
FL
207RN0300X
Nephrology Physician
ME99514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139901302A
—
GA
05
—
2805138-00
—
FL
01
—
K1951A
BPC MCR GROUP NO.
FL
01
—
P00712859
MEDICARE RR
FL
Enumeration date
01/29/2008
Last updated
11/12/2015
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