Provider Demographics
NPI:1679318307
Name:HARAN, PRANAV
Entity type:Individual
Prefix:
First Name:PRANAV
Middle Name:
Last Name:HARAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 W FRANKLIN ST UNIT 105
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-8201
Mailing Address - Country:US
Mailing Address - Phone:765-461-8232
Mailing Address - Fax:
Practice Address - Street 1:24 W FRANKLIN ST UNIT 105
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-8201
Practice Address - Country:US
Practice Address - Phone:765-461-8232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program