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Individual

SAURABH RANJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
406 S 30TH AVE STE 101, YAKIMA, WA 98902-3713
(203) 384-3442
Mailing address
406 S 30TH AVE STE 101, YAKIMA, WA 98902-3713

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51735
CT
207R00000X
Internal Medicine Physician
MD61142514
WA
207RC0000X
Cardiovascular Disease Physician
MD61142514
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD61142514
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02483249
COVENTRY/FIRST HEALTH
CT
01
051735
CONNECTICARE
CT
01
1183945
USA
CT
01
9485958
AETNA
CT
01
P01300076
RR MEDICARE
CT
Enumeration date
06/14/2010
Last updated
06/25/2021
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