Provider Demographics
NPI:1528476660
Name:RANA, RASRAJ (OD)
Entity type:Individual
Prefix:DR
First Name:RASRAJ
Middle Name:
Last Name:RANA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:169 UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2603
Mailing Address - Country:US
Mailing Address - Phone:973-942-4221
Mailing Address - Fax:973-942-7593
Practice Address - Street 1:169 UNION BLVD
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2603
Practice Address - Country:US
Practice Address - Phone:973-942-4221
Practice Address - Fax:973-942-7593
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00653700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist