Individual
REENA K RANPURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 N JACKSON AVE, SUITE 109, SAN JOSE, CA 95116-1903
(408) 929-4425
(408) 929-4487
Mailing address
7500 GREENWAY CENTER DR, STE 930, GREENBELT, MD 20770-3587
(303) 626-6348
(866) 639-1174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT179524
PA
207RN0300X
Nephrology Physician
Primary
MT179524
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A995868
MEDICARE PTAN
CA
01
—
1316099658
GROUP NPI
CA
05
—
1518173608
—
CA
01
—
ZZZ04539Z
MEDICARE GROUP
CA
01
—
ZZZ27071Z
MEDICARE GROUP
CA
Enumeration date
05/15/2007
Last updated
02/14/2017
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