Individual
DR. BRIJ BHUSHAN RANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 5TH ST SW, STE 5, LIVE OAK, FL 32064-2239
(386) 208-1200
(386) 208-1300
Mailing address
609 5TH ST SW, STE 5, LIVE OAK, FL 32064-2239
(386) 208-1200
(386) 208-1300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000028083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3158071
BLUE CROSS
TN
05
—
3807770
—
TN
Enumeration date
10/11/2005
Last updated
04/19/2018
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