Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prabodh Ranjan, MD

Individual provider Nephrology Physician · NPI 1245417609

Prabodh Ranjan, MD is an Internal Medicine in Jacksonville, Florida. Qualified in 1996, 30 years ago. Practices with Florida Kidney Physicians LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone: (904) 346-3649
Fax: (904) 348-5627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME99514 (FL)
Nephrology Physician Taxonomy 207RN0300X · Licence ME99514 (FL)

Record details

NPI number1245417609
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 29, 2008
Last updated in NPPESNovember 12, 2015
Mailing addressPo Box 44004, Jacksonville, FL 32231-4004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Florida Kidney Physicians Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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