Provider Demographics
NPI:1194959932
Name:RANE, POONAM (MD)
Entity type:Individual
Prefix:DR
First Name:POONAM
Middle Name:
Last Name:RANE
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 1:12505 HYMEADOW DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1848
Mailing Address - Country:US
Mailing Address - Phone:512-996-1488
Mailing Address - Fax:
Practice Address - Street 1:12505 HYMEADOW DR STE 2A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1848
Practice Address - Country:US
Practice Address - Phone:512-996-1488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2054207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine