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Individual

SHAHID R RANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD FACC

Contact information

Practice address
608 NEW HOPE RD STE 4, PRINCETON, WV 24740-2287
(304) 487-7676
(304) 487-9032
Mailing address
608 NEW HOPE RD STE 4, PRINCETON, WV 24740-2287
(304) 487-7676
(304) 487-9032

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18379
WV
207RC0000X
Cardiovascular Disease Physician
Primary
18379
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001721883
BLUE CROSS
WV
05
0086326000
WV
01
1504139
UMWA HIR
Enumeration date
01/24/2006
Last updated
10/03/2017
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