Provider Demographics
NPI:1194879643
Name:RANA, NAILA N (MD)
Entity type:Individual
Prefix:
First Name:NAILA
Middle Name:N
Last Name:RANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44035 RIVERSIDE PARKWAY
Mailing Address - Street 2:#340
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176
Mailing Address - Country:US
Mailing Address - Phone:703-724-9376
Mailing Address - Fax:703-724-4862
Practice Address - Street 1:44035 RIVERSIDE PARKWAY
Practice Address - Street 2:#340
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-724-9376
Practice Address - Fax:703-724-4862
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012338182084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010168805Medicaid
124410Medicare UPIN
VA190001199Medicare ID - Type Unspecified