Provider Demographics
NPI:1306049325
Name:RANA, ATIF IQBAL (MD)
Entity type:Individual
Prefix:DR
First Name:ATIF
Middle Name:IQBAL
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:HOUSE 13, STREET 2, F-8-3
Mailing Address - Street 2:
Mailing Address - City:ISLAMABAD
Mailing Address - State:FEDERAL CAPITAL
Mailing Address - Zip Code:00000
Mailing Address - Country:PK
Mailing Address - Phone:9251-225-5065
Mailing Address - Fax:
Practice Address - Street 1:1601 WATSON BLVD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3431
Practice Address - Country:US
Practice Address - Phone:478-542-7765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0593212085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH58133Medicare UPIN