Individual
DR. SANTOSH GOPAL RANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2911 N TENAYA WAY STE 104, LAS VEGAS, NV 89128-0488
(702) 805-5678
(702) 268-7605
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101240621
VA
207RC0000X
Cardiovascular Disease Physician
17265
NV
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
17265
NV
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD60476157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010323941
—
VA
05
—
010324068
—
VA
05
—
010324084
—
VA
05
—
1649371915
—
NV
01
—
17265
NEVADA MEDICAL LICENSE
NV
01
—
PENDING
MEDICARE PIN
NV
Enumeration date
09/26/2006
Last updated
09/08/2020
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