Provider Demographics
NPI:1285800334
Name:RANA, MOHAMMAD NASEEM (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:NASEEM
Last Name:RANA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 GRAHAM AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4108
Mailing Address - Country:US
Mailing Address - Phone:718-381-6200
Mailing Address - Fax:718-381-6201
Practice Address - Street 1:5 GRAHAM AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4108
Practice Address - Country:US
Practice Address - Phone:718-381-6200
Practice Address - Fax:718-381-6201
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist