Provider Demographics
NPI:1194745489
Name:RANA, HAMZA (MD)
Entity type:Individual
Prefix:MR
First Name:HAMZA
Middle Name:
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 1:646 NALLS FARM WAY
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1146
Mailing Address - Country:US
Mailing Address - Phone:609-412-0734
Mailing Address - Fax:
Practice Address - Street 1:15225 SHADY GROVE RD STE 201
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3278
Practice Address - Country:US
Practice Address - Phone:301-670-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0076113202K00000X
WV22091207Q00000X
MDD007613207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2335816OtherMEDICARE PTAN, C.HOSP GRP-WILKES
WV001706661OtherBCBS
WV3810003829Medicaid
WVCD7656OtherRR MC
WV001780905OtherBCBS
WV0022360001Medicaid
WV0035334000Medicaid
NCNC4780AOtherMEDICARE PTAN, INDIV (UNDER C.HOSP GRP-WILKES)
WVP00359775OtherRR MC
WV001780905OtherBCBS
WV5118561Medicare Oscar/Certification
WV0022360001Medicaid
WV0035334000Medicaid
WVRA2027121Medicare PIN
WV511860Medicare Oscar/Certification