Basic Information
| Provider Information | |||||||||
| NPI: | 1689675902 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RANA | ||||||||
| FirstName: | TAHIR | ||||||||
| MiddleName: | MUHAMMAD | ||||||||
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| Credential: | MD PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | DENTON CANCER CENTER | ||||||||
| Address2: | 2900 I 35N SUITE # 119 | ||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762012510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403878000 | ||||||||
| FaxNumber: | 9403878002 | ||||||||
| Practice Location | |||||||||
| Address1: | 2900 N I-35 STE 119 | ||||||||
| Address2: | DENTON CANCER CENTER | ||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762015143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403878000 | ||||||||
| FaxNumber: | 9403878002 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 04/23/2008 | ||||||||
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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 | 2085R0001X | K2566 | TX | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 2085R0001X | A73839 | CA | N | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
ID Information
| ID | Type | State | Issuer | Description | 042994603 | 05 | TX | MEDICAID |