Basic Information
| Provider Information | |||||||||
| NPI: | 1487848925 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RANADE | ||||||||
| FirstName: | ASHISH | ||||||||
| MiddleName: | S. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 MARSHALL ST | ||||||||
| Address2: | SLOT 839 | ||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722023510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013641469 | ||||||||
| FaxNumber: | 5013641522 | ||||||||
| Practice Location | |||||||||
| Address1: | 3551 N BROAD ST | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191404105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154304022 | ||||||||
| FaxNumber: | 2154304079 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2007 | ||||||||
| LastUpdateDate: | 12/11/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | E-5740 | AR | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | P00636384 | 01 | AR | RAILROAD MEDICARE | OTHER | 173468001 | 05 | AR | MEDICAID |