Individual
MOHAMMAD JAVED RANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2003 LEATHERWOOD LN, BLUEFIELD, VA 24605-2026
(276) 322-0000
(276) 322-0003
Mailing address
2003 LEATHERWOOD LN, BLUEFIELD, VA 24605-2026
(276) 322-0000
(276) 322-0003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18953
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080080000
—
WV
05
—
010114918
—
VA
01
—
1518077890
CORPORATION NPI#
—
01
—
18953
STATE LICENSE
WV
01
—
542154731
TAX ID#
—
01
—
550771289
TAX ID#
—
01
—
P00140857
TRAVELERS
—
Enumeration date
08/02/2005
Last updated
06/20/2018
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