Provider Demographics
NPI:1407061666
Name:JEHLE, RANA SULTANA (PA)
Entity type:Individual
Prefix:MS
First Name:RANA
Middle Name:SULTANA
Last Name:JEHLE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:18 CRESCENT RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4406
Mailing Address - Country:US
Mailing Address - Phone:914-474-5040
Mailing Address - Fax:
Practice Address - Street 1:3415 BAINBRIDGE AVE.
Practice Address - Street 2:CHILDREN'S HOSPITAL OF MONTEFIORE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-741-2055
Practice Address - Fax:718-741-2033
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004938363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant