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Individual

PRANAV R RANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003028765
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508886060
MO
05
209255306
MO
Enumeration date
07/20/2006
Last updated
12/27/2018
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