MEDICARE: RAKESH RANJAN, MD & ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	103TC1900X	Counseling Psychologist
3	251S00000X	Community/Behavioral Health Agency
4	261QM0850X	Adult Mental Health Clinic/Center
5	261QM0855X	Adolescent and Children Mental Health Clinic/Center
6	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083975239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAKESH RANJAN, MD & ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	12395 MCCRACKEN RD STE H
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44125-2946
Country	:	US
Telephone Number	:	216-587-6727
Fax Number	:	866-277-0864

Provider Business Practice Location Address
First Line	:	12395 MCCRACKEN RD STE H
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2946
Country	:	US
Telephone Number	:	216-587-6727
Fax Number	:	866-277-0864

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	CHRISTINE A KELLY
Credential	:
Telephone Number	:	162-587-6727

Provider Enumeration Date	:	06/05/2012
Last Update Date	:	09/25/2024

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12395 MCCRACKEN RD STE F
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44125-2946

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12395 MCCRACKEN RD STE A
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12395 MCCRACKEN RD STE A
GARFIELD HTS, OH
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