Basic Information
| Provider Information | |||||||||
| NPI: | 1336171792 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RANJAN | ||||||||
| FirstName: | APARNA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SRIVASTAVA | ||||||||
| OtherFirstName: | APARNA | ||||||||
| OtherMiddleName: | RANJAN | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 6550 HULL ST | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8046743425 | ||||||||
| FaxNumber: | 7572827600 | ||||||||
| Practice Location | |||||||||
| Address1: | 6550 HULL STREET RD | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232242636 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8046743425 | ||||||||
| FaxNumber: | 7572827600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 03/26/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0101221443 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RG0300X | 0101221443 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
ID Information
| ID | Type | State | Issuer | Description | 191489 / 191493 | 01 | VA | ANTHEM BCBS OF VA | OTHER | 191495 / 191487 | 01 | VA | ANTHEM BCBS OF VA | OTHER | 010272602 | 05 | VA | MEDICAID | 3923207 | 01 | VA | CIGNA | OTHER | C06778 | 01 | VA | GROUP PTAN | OTHER |