Provider Demographics
NPI:1437606019
Name:RANA, PAYAL (NP)
Entity type:Individual
Prefix:
First Name:PAYAL
Middle Name:
Last Name:RANA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9240 N MERIDIAN ST STE 120
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1811
Mailing Address - Country:US
Mailing Address - Phone:317-571-0030
Mailing Address - Fax:317-219-4690
Practice Address - Street 1:9240 N MERIDIAN ST STE 120
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1811
Practice Address - Country:US
Practice Address - Phone:317-571-0030
Practice Address - Fax:317-219-4690
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71013381A363L00000X
IL209014662363L00000X
CT9495363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner