Provider Demographics
NPI:1568044949
Name:EL-JARRAH, RANA (MD)
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:EL-JARRAH
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 1:250 RETAIL CIR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-1676
Mailing Address - Country:US
Mailing Address - Phone:304-598-4881
Mailing Address - Fax:304-285-7110
Practice Address - Street 1:250 RETAIL CIR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-1676
Practice Address - Country:US
Practice Address - Phone:304-598-4881
Practice Address - Fax:304-285-7110
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-25
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV34084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine