Provider Demographics
NPI:1194731265
Name:RANA, RAJESH SAKERLAL (MD)
Entity type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:SAKERLAL
Last Name:RANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18601 LBJ FWY STE 320
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-5612
Mailing Address - Country:US
Mailing Address - Phone:972-681-6401
Mailing Address - Fax:972-681-2515
Practice Address - Street 1:18601 LBJ FWY STE 320
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5612
Practice Address - Country:US
Practice Address - Phone:972-681-6401
Practice Address - Fax:972-681-2515
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4667207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123475906Medicaid
P01023623OtherMEDICARE RAILROAD CARRIER
TX123475906Medicaid
TXB103409Medicare PIN